HomeMy Public PortalAbout9080-9082 LYLEDALE ST_Plumbing__ la
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APPLICATION FOR PLUMBING PERMIT L�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, CountX Engineer _ADDRESS
CASSATT D. GRIFFIN, Sup t of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM f
OWNER ! -
WATER CLOSET
MAIL
BATH TUB ADDRESS
SHOWER CITY TEL. NO.
LAVATORY CONTRACToEONTANA PLUMBING CONTRACTORS
SINK ADDRESS 13329 E. Ector Street
DISHWASHER CITY City of Industry,�lio�o. Ep. T.
CONTRACTOR'S 96'496 STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP ZONE I PROCESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
I
APPROVALS
@ $1.00 PER ITEM
OR FIXTURE $ DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT S 2 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
--.1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
,DESCRIBED RESIDENTIA ROPERTY.
SIGNATUREll,
OF PERMITTEE S&MFINAL
ROBERT A.WOOD.Gr �
®r VALIDATION SUPERVISING MECHANICAL EN4'R
( c� M.o. CASH
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