HomeMy Public PortalAbout6011 MUSCATEL AVE_Plumbing__ 7SM57-CIM17 8-59
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMEME
UNTY ENGINEER
BUILDINETY DIVISION BUILDING _
JOHN ount neer ADDRESS
CASSATTSupt of Building LOCALITY
FOR TO FILL IN NEAREST
CROSS ST.
NUMBERXTURE OR ITEM OWNER
ET SIL I
RATE TUB ADDRESS
C TEL.NO. ,S~
SHOWER •
LAVATORY CONTRACT
sum ADDRESS Ce.tl
DISHWASHER CT19C�Gk TEL. NO.
CONTRACTO' STATE ❑
LAUNDRY TUB REGISTRATIO NO. COUNTY ❑
CLOTHES WASHER TW:ASTE
IS N0. G€i` ZONE, P OCESSED BY
WATER HEATER
GAS SYSTEM STRIAL
APPROVAL '
INSPECTION RECORD
—' O—cSr ��'►S /� �O
OSER ITEM
F FIXTURE $
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ I E 00 UNDER SLAB WORK
TOTAL FEE ; ROUGH PLUMBING fl 0 n
' pyy
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT GAS PIPING 77521
I 9'J. ✓'( 'H�
AND STATE THAT THE ABOVE 18 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 v-12-1.0 r
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST 9 7 3�9 `9J c
CALIFORNIA OR THAT 1 AM�FT�lHEE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL•PROP UTILITY CO.NOTIFIED
SIGNATURE Ii
OF PERMITTE r
FINAL
®s VAIMATIROBERT A.WOOD,
OK. M.O. ¢ASR SUPERVISING MECHANICAL ENG'R
1
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