HomeMy Public PortalAbout5519 PAL MAL AVE_Plumbing__ 7US67-CM17 359
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BURRING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, Coua1T Engineer ADDRESS /j t
CASRATT D. GRIFFIN, Sup 1 of Building LOCALITY
FOR APPLICANT TO FELE. IN C OSE ST. J[i
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL _
BATH 7UB
ADDRESS S5/
st[owER
CITY TEL No. 4-3
LAVATORY CONTRACTOR,/
SINK ADDRESS
DISHWASHER CITY TEL NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER DISTRI.C/TNO. GAGUP ZONE PRO ESSED BY
WATER HEATER \J A- 1
GAS SYSTM INDUSTRIAL
_ WASTE APPROVAL
INSPECTION RECORD
i ESM / 7- 7Z7 q. 1704
°
&02709M S
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 7111100 UNDER SLAB WORK
TOTAL FEE I d 11�
ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
L,IJIER� E 0 xA ' PLUMBING FIXTURES
CALK-0ANNr-0R THAT 1 AM THE LEGAL OWNER OF THE ABOVE GAS TEST
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTER
FINAL -
®� -VALIDATION ROBERT A. WOOD.
cc. M.O. CASH SUPERVISING MECHANICAL ENG'R
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