HomeMy Public PortalAbout5610 PAL MAL AVE_Plumbing__ TeneHT-cE817�8-58
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARn=T OF COUNTY ENGINEER
HO�Rp.�DINIG1, AND SAFETY
C� DIV18[ON BUILDING
ADDRESS er 40 i/.
CA88RSSLD.G�lPINN 6OPM1 d H `�mv LCCA„ST c. e.C.�'
FOR APPLICANT TO FILL IN NB6�T
NUMBER FIXTURE OR ITEM OWNES
W CLOSET ISAIL
RAID TOR ADDRESS
SHOWER , CTIT TEL NO
LAVATORY CONTBACTOR
ADDRESS
D�WA88E8 CRTjv
TEL NO
WATR
DNDRT TUB 10=872ATION NO C-3 (c O .t um..
CLOT8F8 WABBEB DISTRICT NO GROUP ZONH PROCESSED PY
WATER NEATER '� ..L..
GAB SYSTEM UMUSTRIAL
WASTE APPROVAL
INSPECTION RZCbRD
APPROVALS
® jR ARE B AT91- INSPECT—OR 3 TUNE
UNDER SLAB WORK
PERMIT S 2 ROUGH PLUMBING
TOTAL FEE OAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ IRIS 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
PLUMBING PLUMBI FUR'URES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY NOTIFIED 1 O —1 lV 1�4
DESCRIBED RESIDENT RL 8A
eOF PERM ITT FINAL (t, -1 1.-T
ROBE
TA WOOD
®• OVALIDATION SUPERVISINGRMECHANICAL ENO R
u M 0 CAIN
l �j;o 0 2 1 8 r JUL 2 7 5 A 9.0 0 x