HomeMy Public PortalAbout9451 LONGDEN AVE_Plumbing__ 76A667-CE817 12/59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER Da ss
B o A A&D,,p co5TY
iTir NNI ON.
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR "MCM TO F= nq SRN T
NUMBER FIXTURE OR ITEM OWNER
/ WATER CLOSET MAIL
SATS TUR ADDRESS
CITY TEL.NO.
BROWER
LAVATORY CONTRACTOR cb
sm ADDRESS [`
`aR38WASHER CTTY TEL. NO.
CONTRA R'S STATE' Er
LAUNDRY TUB REGISTRATION NO. �(� Q�� COIINTY ❑
CLOTHES WASHY DIISTTRI�CgT 9, 1 GR ZONE ESSED BY
WATER HRATRB 7 (fOF
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL ,{ _
INSPECTIo REC�RD`s_-
.a�: I
W sim PER nzm
OR FIRTURE $. I APPROVALS PATE INSPEST R'SASIGNATURE
PERMIT $ a 00 UNDER-SLAB WORK
TOTAL FEE I j,�I QD ROUGH PLUMBING d�/J �-
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GA VENT
AND STATE THAT THE ABOVE IS 'CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING.. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ✓� , ,.'j, �, �l_
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFGAS TEST `1.s�'�
CALIFORNIA OR THAT A-%AM T LEGAL.OWNER OF THE ABOVE � N ,
DESCRIBED RESIDENTI/[L PROP UTILITY CO.NOTIFIEU�
SIGNATURE
OF PERM!TTE
FINAL
D■ ALIDATION ROBERT A.W.00D, /
M.O. CASH SUPERVISING MECHANICAL ENG'R
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