HomeMy Public PortalAbout5335 NOEL DR_Plumbing__ 0.917aBB APPLICATION FOR PLUMBING PERMIT l
ss IT
DMSION OF BUILD= AND SAFETY
Deposiment of County Engineer
County of Los Angeles
WM J FOX COUNTY ENGINEER 'BUILDING—ADDRESS
UILDING C
ADDRESS V'
CASSATT D GRIFFIN SUP T OF BUILDU a
LOCALITY
To-
FOR APPLICANT TO ELL IN NEAREST
CROSS ST 40
OWNER w' DIS T NO GROUP ZON; READY FOR INSPECTION
MAIL
ADDRESS .r
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER Re—enRe—enn INSPECTION RECORD
ADDRESS -7 1
CITY //tlU� ®k TEL NO
LICENSE NO 0
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO 080 APPROVALS
DATE INSPECTOR S SIGNATURE
GAS SYSTEM CUTLETS 1 00
WATER HEATER foo UNDER SLAB WORK
ROUGH PLUMBING
PERMIT S 1 OO GAS PIPING t1 r IZ S S
TOTAL FEE 02,ft 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_ 4
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST SS '�`�
1755I
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOf UTILITY CO NOTIFIED
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF TAE AR OVE
DESCRIBED RESIDENT] PROPERT
SOFPERMITTEEA- 6& t FINAL IZ �S
WILLIAM J FOX LINTY ENGINEER VALIDATION R A WOOD CHIEF PLBG INSPECTOR
OB'Ssm iC13 3 200
�t
00 ;BBB APPLICATION FOR PLUMBING PERMIT 1
DMSION OF SUUMBRG AND SAFETY
Deparll- of County Engineer
County of LOB Angeles BUILDING I
WM J FOX COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY
FOR "PUCW TO FILL IN NEAREST
CROSS ST
OWNER DISTRICT GROUPjf�READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL I
CITY TOL NO gO9 WASTE APPRQ6L.
PLUMBER INSPECTION RECORD
ADDRESS Z J
CITY
LICENSE NO (/
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATHTUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO o BO APPROVALS
DATE INSPECTOR S SIGNATURE
GAS SYSTEM�OUTLETS 100 Q®
WATER HEATER 1 00 O UNDER SLAB WORK
ROUGH PLUMBING
PERMIT E 1 00
GAS PIPING
TOTAL FEE 7 .60 GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAV9 READ THIS APOCICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY t� 1 y
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING 1
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST Z. 4 S
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO NOTIFIED
CALIFORNIA OR THAT 1 AM THE LEGAL OWNE OF THE BOVE
DESCRIBED RESIDENTIAL PROPERTY
00
SIGNATURE
OF PERMITTEE FINAL
WILLIAM J FOX COUNTY ENGINEER ALIDATION R A WOOD CHIEF PLBG INSPECTOR
;C0.8630S OCT 4. 3 700 �
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