HomeMy Public PortalAbout5559 PAL MAL AVE_Plumbing__ 76A667-CE817-8-58
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND
SAFETY oDf IVuIHSdIlOn
4N IMIEHConEn�1nMBUDR
PuyOITDGt SSS
LOCALITY
FOR APPLICANT TO FILL IN NEAREST �
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNAUL
ER �
WATER CLOSET M
BATH TUB ADDRESS
SHOWER CITY . NO.
LAVATORY CONTRACTOR
Sm ADDRESS
DISHWASHER CITY 7 /TEL. NO. 7
TE
LAUNDRY TUB REGISTRATION NO. > /`-� `� CO TUNTY
CLOTHES WASHER DISTRICT NO. GROUP ZONE I PROCESSED BY
WATER HEATER I -F l
GAS SYSTEM ENDUSTAIAL
WASTE APPROVAL
INSPECTION RECORD
u �L G'CCSS o IV16 .9+�
0 -,4.s - C79 RA, Mitt0,�
APPROVALS
111.00 F� DAT ATURE
UNDER SLAB WORK `'
PERMIT $ 2 00 ROUGH PLUMBING
TOTALFEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - V -
PLUMBING. PLUMBING FIXTURES
1 HERERT CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE JJJ.{��GALoy0/WN�IE,R AOF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIjL PBQEERJ/- 'W✓�'
SIGNATURE IjO/✓ !/////�'
OFPERMITTEP FINAL
ROBERT A.WOOD.
®, VALIDATION SUPERVISING MECHANICAL ENG'R
CC. M.O. CASH
L'og27 JR 10 5 A 9.0U
TaAaaT.c RAeIT RIES �
ti APPLICATION F R PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEJ"I
_ tl
B o iHIInGL i i o�cFur�in �NIa,"KKRR>� �-!rS IWILLIAM A JENB[N BUTT OI BUILDIKOALITY RZTT
Pep leFOH APruCANr r0 FILL IIiCRONUMBER IIZTUR[OR ITEM [ACX m Noel f n
3 WATER CLOSET n 25 Y tl�J.1 BATH TDB 125 RESS
1 SHOWER IS5 1 25 CITY TEL No
LAVATORY 125 3 75 coNrRACTOR Oren Bros Plumbing
STNS 123 1 2 ADDS 26 No Baldwin
1 DWIWASHEB 125 1 2 CITY El monte TEL No
LAUNDRY TUB 125 CONTRASIGISYRATION NO R 8 1971 COUmi
1 cwrlvs wAsxaa ISS DISTRICT NO ROUP Z Ni R ERRED BY
1 WATER HEATER 150 1 Y
1 OAS SY8TE51 OonETa I so INDUSTRIAL — O
WASTE APPROVAL U
OUTLETS OVER 5 PER STBTM J0 nISPECTION RECORD
Of
Y-1 7-it I I � ;,. , 1 w C-I L. 0
D_
h
2
APPROVALS DATE INSPE OA SIGNATURE
PERMIT f 2 OO UNDER SLAB WORK —
18 ROUGH PLUMBING
TOTAL FEE V
GAS PIPING
I N[IOt•Y ACKNOWLEDO[ THAT 1 NAY[ IRAD TNI[ APPLIUTI M GASVENT
AND BYAW TMAT TH[ ASOYE 1[ COA CT AND AGASK TO COMPLY
WITH ALL COUNTY OROINANCn AND STATS LAWS MODUTINO HOT WATER HEATER
PLUMBING
1 N[I®r CERTIFY THAT 1 Ar AIOP[RLY K[OIST[K[O ANDIOR PLUMBING FIXTURES
uCXKSED AB ROOIRSM BY LOB ANOSL[B COONTY AND STATS OF GAS T¢6f '��
CALIFORNIA OA THAT 1 AN THE LEGAL OWNER OF AND INTEND To
INSIDE IN THR A uD rtWOCKTIAL FROPSI UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE -��
FINAL
AMATION ROBERT A WOOD
CK r o CASH SUPERVISING MECHANICAL ENG R
uLo9 C; 22 5 D 18.75 ' '
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