HomeMy Public PortalAbout5651 PAL MAL AVE_Plumbing__ 76A667 CE817 B 57
PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 7NEAREST /
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER
CASSATT O GRIFFIN SUP T OF BUILDING
FOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEMeoWATER CLOSET BATH TUB
SHOWER CITY TEL NO
LAVATORY CONTRACTOR
SINK ADDRESS 4716 j6��
DISHWASHER, CITY TEL NO 0 L
LAUNDRY TUB CONTRACTOR S STATE
REGISTRATION NO COUNTY
CLOTHES WASHER
DISTRICT N GROUP I ZONE FEAOY FOR IHSFeCneH
WATER HEATER r — /
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
READ COND/ITIOS ELOW
p$�a�vsti/�vl�d,
Permittee in hereby "thomed to tall a Plumbing
O
0
6 as shown in accordance with provlslcns of Ordinance
No 2269 and related Ordmances
Thin permit becomes null and void if work In not core
(L0 $1 00 PER ITEM maned within sixty (60) days from date of issuance
OR FIXTURE $
or if work to suspended at any time during construe
PERMIT IS 00 bon for the same period of time or it any work is done
TOTAL FEEon the surd building or structure in violation of the
County Ordinances or State laws governing same
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
PWITH ALL LUMBING COUNTY ORDINANCES AND STATE LAWS REGULATING THIS FORM WHEN PROPERLY VALIDATED
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR IS A PERMIT TO DO THE WORK
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DE��BED2
DESCRIBED RESIDENTIAL
SIGNATURE
OF PERMITTEE
ROBERT A WOOD
,V4LIDATION
SUPV SING M Af�IG L ENGLLnnR
F Y 0 CASH f-y a 6I
I�rD5576."4 C 5 A 12.00