HomeMy Public PortalAbout9329 PENTLAND ST_Plumbing__ 7BA667 CES17 B E0 Job 173
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPAMIE TN OF COUNTY ENGINEER
B MIH G E AAN FET DIVISION anDLQ" E. Pentland
WILLIAM A JENSEN SUPT OF BUILDING LOCALITY T
em le Cit
FOR APPLICANT TO FILL. IN NEARE4f
caoae BT
NUMBER FIXTURE OR ITEM OWNER Noel Aaldwin
2 WATER CLOSET
1 RA,TH TUB ADDRESS 5017 X. Baldwin Ave.
1 SHOWER Cm Temple City TEL_ No AT 6-0827
2 LAVATORY CONTRACTOR Rely ere lumb e G
o.
1 enrc ADDRESS 11 E G rve Ave
1 DISHWASHER CITY El n ts TEL NO
CONTHA=hRB STA
LAUNDRY TOB REGISTRATION NO 179568 COUNTY
1 CLOTHES WABRIM DISTRI�p�!O GRO9P- ZONE CESSE'�Dqq BY
l WATER BEATERQ U
1 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTIONN/RECORD n
7 2 / 6
/'L cQ-u-moi J -
To OPQ v T 0'
11 ° �a00FPrnuaE Q s 11.00 �L 7n.2,7,
APPROVALS DATE INSPECTOR 9 SIGNATURE elj
PERMIT s Z 00 UNDER SLAB WORK ,LC,
TOTAL FEE1 ROUGH PLUMBING I�+d-
3 00 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATE5R I
1 HE REST CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING F TUR �. % ZIWI)
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST �, I b G/
CALIFORNIA OR THAT 1 AM THE LEGAL 0 R OF THE ABOVE
DESCRIBED REBID 1 PROPERTY UTILITY CO OTHFIED
SIGNATURE
OF PERM ITT 1,
FINAL
®. OVALIDATION ROBERT AI,YVOOD
Cl M 0 CASE SUPERVISING MECHANICAL ENG R
U3,08 3 2 9 0 JT4 5 D 13 .00