HomeMy Public PortalAbout5439 PARMERTON AVE_Plumbing__ 76A66;-CH 17 12/59 TEMPLE (;OTY `
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTN2fT OF CAOUNTY ENGINEER
MSION BUILDING
JOBUIAG 1 NTYgTY NGINEER ADDRESS J7 />'/L / �E
WILLIAM A JENSEN SUP T GF BUILDING ClT
LOCALrrY /
FOR APPLICANT TO I= IN xEARFst
cRoss sr
NUMBER FIXTURE OR ITEM
OWNERL I Lw/ r)2
WATER CLOSET
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HATS TOB
SHOWER CITY lC.s9 L. t l,O T e-- Y,6ZD G
LAVATORY
CONTRACTOR
SINN ADDRESS
DISHWASHER CITY TEL NO
CONTRACTORS STATE ❑
LAUNDRY TUB REGI97AA170 O COUNTY
CLOTHES WASHER DISTRICT NOny G ZONE I P SSED BY
WATER HEATER ✓D J
GAS SYSTEM INDUSTRIAL
wxsrE APPROVAL
INSPECTION RECORD
0
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0
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O 11 ORS P<•IXTURE $ 7
APPROVALS DATE INSPECTOR SSIGHATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELn COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE UGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERM ITTEF. FINAL
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VALIDATION--, ROBERTA WOOD
CE M O 2 SUPERVISING MECHANICAL ENG R
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