HomeMy Public PortalAbout5561 PAL MAL AVE_Plumbing__ 76A687-CE817-B-58
APPLICATION oFOR PLUMBING PERMIT 1
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BDD,DnIc !�
IOHN A_ LAMBIE, Counlp Eng�aeet ADD8BS8 J
CASSATT D. GRIFFIN,Sup t of Huildiag LOCALITY
I
FOR APPLICANT TO FRS IN NEAREST
CROSS ST. 35W A
NUMBER FIXTURE OR ITEM 1
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
0.
SHOWER CITY
LAVATORY ' CONTRACTOR
SINK ADDRESS
TE
DISHWASHER � CITY / TEL. (CONTRIACTOR's e CONyO. x144 S 1
TE
LAUNDRY TUB REGISTRATION NO. 6 3r'� UN
� TY
CLOTHES WASHER DISTRICT NO. GROUP ZONE P CESSED BY
WATER HEATER �`_ /
- t
GAS SYSTEM INvubrBLmL
WASTE APPROVAL
INSPECTION RECORD
� <Cei cis 7u Toa Z�.r
APPROVALSca $1.00 PER ITEM
r=,.
O8 FIXTURE $ 7 PATE, INSP �ATURE ,
UNDER SLAB WORK y
111101L -;P�-
PERMIT S 2 00 ROUGH PLUMBING L '.S'Cf (=ter
TOTAL FEE I GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP IICATION GAS VENT _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER p "
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES -'J
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 I AM THE LJLUL OWNER OF THE ABOVE UTILITY CO.NOTIFIED /O— �Y
DESCRIBED RESIDENT LPR ERTY • 7
SIGNATURE "
OFPERMITTE i FINAL IU
ROBERTA.WOOD.
®r VALIDATION SUPERVISING MECHANICAL ENG'R
(/ CK. M.0. CASH
��0 9 2 7 4 T JJL 10 5 A 9.00 .'