HomeMy Public PortalAbout9521 LONGDEN AVE_Plumbing__ 7OAg57-cFe17 ttso
APPLICATION FOR PLUMBING PERMIT �
OFTGE
DEPATO�T COUNYENGI EER
BUILDING AND SAFETY DIVISION BUILDING n
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN.SUPT OF BUILDING
LOCALITY t tL
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER r C L
WATER CLOSET KaL
HATS TOB ADDRESS 61
SHOWER CITY TEL NO.
LAVATORY CONTRACTOR
t sm ADDRESS Il a
DISHWASHER CITYtqe- TEL No. X6 ( Xf&3
CONTRACTOR'S —'3 G— 1lfl( _ 2� STATE
LAUNDRY TUB REGISTRATION NO. COUNTY
I CLOTHES WASHER TZBMUSTEM
T NO. GROUP ZONE PROCESSED BY
1 WATER HEATER
GAS SYSTEM PROVAL
INSPECTION RECORD
0
v
w
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE 7 ROUGH PLUMBING /)
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ iH18 APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST J
CALIFORNIA OR T I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDE TI L PROP OPER7 — UTILITY CO.NOTIFIED
SIGNATURE 1
OF PERMITTE ,r
FINAL /b f/•� r f �'�d
�v < ATION ROBERT A.WOOD.
Lcx, M.a CI18B SUPERVISING MECHANICAL ENG'R
L• `;o 2 4 5 8 %,D-' FL-3 14 5 0 12.0 0