HomeMy Public PortalAbout4931 MCCLINTOCK AVE_Plumbing__ 76ABB7-CE817 6-60
APPLICATION FOR PLU.MBIN PERMIT �.
RTTOFOTGIDEPABO CUNYANGELES
BUILDING AND' SAFETY DIVISION BITIMG 1• �%
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS T O C-
WILLIAM A.JENSEN.SUPT OF BUILDING
- LOCALITY
FOR APPLICANT TO FILL IN NEOss T . U
NUMBER' FIXTURE OR ITEM
r OWNERo 0
WATER CLOSET lyAly
BATH TOS' ADDRESS
CITY, NO.
SHOWER mommw pm
.
LAVATORY CONTRACTOR
$ ADDRESS
DISHWASHER CITY TEL NO.
CONTRACTOR'SQ 574
STATE
LAUNDRY TOB '•REGISTRATION;NO. D 3 . COUNTY
CLOTHES WASHER DISTRICT GROUP ZONE PRO ED BY
WATER HEATER
'GAS SYSTEM INDUSTRIAf
WASTE APPROVAL.
MISPECTION RECOffif//
ra
a $1.00 PER ITEM[ O�
O8 FDClU88 $ APPROVALS " DATE INSPECTOR'S SIGNATURE
PERMIT' $ 2100 UNDER SLAB.WORK r
TOTAL FEE SIO ROUGH PLUMBING 6
GAS PIPING
I HEREBY ACKNOWLEDGE THAT .I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE ES CORRECT AND AGREE TO .COMPLY •��, � ���� _
WITH ALL COUNTY- ORDINANCES AND STATE LAWS REGULATING.
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE. OF /� "if
CALIFORNIA OR THAT I M THE LEGAL OWNER OF' THE ABOVE GAS TEST S./lis �
DESCRIBED RESIDENTIAL ROP • UTILITY CO.NOTIFIED
SIGNATURE
OF PERM ITTE •FINAL >� ��.
®rVALIDATION ROBERT A�WOOD, I
SUPERVISING MECHANICAL ENG'.R