HomeMy Public PortalAbout6166 MUSCATEL AVE_Plumbing__ a
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APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER B
UILDING
16166 AND SAFETY DIVISION 1/V
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D.GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN o.
NUMBER FIXTURE OR ITEM.
.OWNER
WATER CLOSET
BATH TUB ADDRESS G C�✓�-C
SHOWER
CITY TEL.NO.4 r7—
LAVATORY
—LAVATORY CONTRACTOR
SINK ADDRESS
DISHWASHER CITY TEL.NO.
LAUNDRY TUB CONTRACTOR'S STATE
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER
DISTRICT G UP_i R41 ZONE READY FOR INSPECTION
WATER HEATER
Ae
GAS SYSTEM INDUSTRIAL -
WASTE.APPROVAL
INSPECTION RECORD
APPROVALS
$I.00 PER ITEM DATE INSPECTOR'S SIGNATURE
(/ OR FIXTURE $ / UNDER SLAB WORK
ERMIT 5 1 00
ROUGH PLUMBING
P
GAS FI:PPNG
TOTAL FEE. GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION' HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I .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 RESIDE AL PROPERTY, v
SIGNATURE
OF PERMITTEE FINAL I�` !� ::A�r C,
ROBERT A. WOOD, G'
VALIDATION SUPERVISING MECHANICAL ENG'R
4 CK. M.0. CAS
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DEPARTMENT OF BUILDING ANDS A44s ICATtON I++OR•PS'Ti�'j�,;` :'•
COUNTY OF J ....T,.
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