HomeMy Public PortalAbout5346 MCCULLOCH AVE_Plumbing__ IGA667-CE#817 5.61• ,
APPLICATION FOR PLUMBI G�PERIMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGMEER
BjME AAME SAFETY ENIVbSNEON BEWDIN 3 C9 C,
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO RU IN CS 88 S. v�
NUMBER FIXTURE OR ITEM OWNER /
WATER CLOSETH
MAIL
SATE TUB ADDEM
CITY TEL NO.
SHOWER
CONTRACTOR �, S
Z� LAVATORY
SIIlS
ADDRESS +/ W 001—
G/CL�
DISHWASIIHH CITY �6J�f6�/� 4/TEL.No.�/J f O G ,
LAUNDRY TOS CONTRA
&iIS ZA211ON NO. 2 7 S lj CADpTZ
TY
CLOTR Es WASHER DISTRICT O. GR ZO E P BY
WATER EEATER D O
GAS SYSTINDUSTRIAL
EAL WASTE APPROVAL 09V
! t IN 'ECTION RECORD,
N
. Z
S $1.00 PER ITEM // r
OR FIXTURE $ I 3 APPROVALS [)ATE INSPECTOR•9$1 NATGR6
PERMIT $ 1 2100 UNDER SLAB WORK af 'if •a`�• r1/ O�
ef
TOTAL FEE ROUGH PLUMBING If�'1 ,
I
3 GAS PIPING r''Y
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL BOUNTY ORDINANCE9 AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED A9 REQUIRED BY LOB;'ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OW OF THE ABOVE
DESCRIBED RESIDENTIAL PROPBRTY. ,UTILITY CO.NOTIFIED_ 9
SIGNATURE
OF PERMITTE FINAL
ALIDATION ROBERT A.'VVOOD
,EK. M.O.. CASH SUPERVISING MECHANICAL ENG'R
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