HomeMy Public PortalAbout9650 LIVE OAK AVE_Plumbing__ 76A667-CE817 3-59
APPLDCAT SON FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER .• :or
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engineer ADDRESS
CASSATT D GRIFFIN, Supt of Building
LOCALITY P
0
FOR APPLICANT TO FILL IN NEAREST //��
e CROSS ST. lam+
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL y1
BATH TUB ADDRESS �. d li ��•/� ca�e�
SHOWER CITY j TEL NO. L
LAVATORY
CONTRACTOR J
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n
SING ADDRESS C/3.3 y
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DISHWASHER' CITY 9 TEL. NO. �
CONTRACTOR'S nr STATE
-
LAUNDRY TUB REGISTRATION NO. 0 2—Y-3 COUNTY ❑
CLOTHES WASHER 5 DISTRICTNO_ GR Eti I OCESSED
WATER HEATER
�' GAS SYSTEM _ INDUSTRIAL
�� ' WASTE APPROVAL
INSPECTION RECORD
7
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@ $I.00 PER ITEM /moi R eIAS�/1�
OR FIXTURE $ I �1( Q APPROVALS PZ&4f& DATE - ..INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SILAB WORK
TOTAL FEE ROUGH PLUMBING ,Q
U c7
r
GAS PIPING
D
ANHEREBY STATE THATACKTHE EABOVEDGEHAT IS CORRECT AND AGREE.TOI HAVE READ THIS iLICATION COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES. AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. .p y
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR .PLUMBING FIXTURES A?aE � 2V&9110 -.p
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST It CALIFORNIA OR OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROOER! UTILITY CO.NOTIFIED
: SIGNATURE
OF PERM ITTEk;��,'.,. FINAL
.oe.,.., ,.Fra
OF LIDATION ROBERT A. WOOD,
cr, M.o. CASH SUPERVISING MECHANICAL ENG'R
SEP 8 5 A 11 .00 �°