HomeMy Public PortalAbout5340 PAL MAL AVE_Plumbing__ III loll
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APPLfCATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRES
BUILDING AND SAFETY DIVISION ]FORINSPECTION JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT GP BUILDING FOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEM
WATER CLOSES BATH TUB
SHOWER CITY G TEL.NO.
LAVATORY CONTRACTOR valley PlumbingCo.
SINK ADDRESS 442 W. Flee
DISHWASHER CITY Glendora TEL,NO. .�
LAUNDRY TUB CONTRACTOR'S 160847
REGISTRATION NO.
CLOTHES WASHER
DISTRICT O. GROUP 7pi(,
WATER HEATER .T
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
$1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
OR FIXTURE S UNDEFf SLAB WORK
ROUGH PLUMBING i
PERMIT
GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 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 fJ'J3`
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 1,j.4M THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIOENTIA ROP PTY
SIGNATURE77
OFPERMITT FINAL 9
o LmATION ROBERT A. WOOD.
y SUPERVISING MECHANICAL ENG'R
/ J/jp'/ CN. M.0. USN
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