HomeMy Public PortalAbout5515 1/2 PAL MAL AVE_Plumbing__ 7BAS57-CE817-8-58
SrI APPLICATIdN FOR PLUMBING PERMIT lII
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDADDRING
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OHM A. LAMBIE. Coua1F Enggivaer
C SATT D. GRIFFIN, Sup7t ok Huildiuq LOCALITY
FOR APPLICANT TO FRS IN NEAREST
CROSS ST. IC.G 6
NUMBER FIXTURE OR IT U y)
OWNER 'V
WATER CLOSET
BATH TDB MAIL
FSS ✓�'J �'! / /�/�'
sxowER
CITY ,e , TEL NO.
LAVATORY coNTRALR'oa - i LUML'IPJG CONTRACTORS
SINK ADDRESS "'29 E. Ect-or Strec#
DISHWASHER C� r.4 r . NO. .7226
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION Iw`D6496 COUNTY
/ CLOTHES WASHER DISTRICT NO. GRO P ^$ONE P CESSED BY
WATER HEATER _b /'7'
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
•� INSPECTION RECORD
LO I Jn
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APPROVALS
.00 PER ITEM
OR FIXTURE 7
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK I ire)
PERMIT $ 2 UO ROUGH PLUMBING I 1 -�b i 1 •''""TOTAL FEE Q GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT U
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING —
PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF .../ _
CALIFORNIA OR TH. I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIEDT —
DESCRIBED RESIDErML PgOPERTYy( p/
SIGNATURE •r� �\ r f ":f e •c�✓
OF PERMITTE FINAL
®rROBERTA.WOOD.
OVALIDATION/--,�VALIDATION SUPERVISING MECHANICAL ENG'R
N.0. MR
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