HomeMy Public PortalAbout5638 PERSIMMON AVE_Plumbing__ F6A71ZE617'=12F39 T' r.� � �/?�y�y2� •��
APPLI 1\I I~OR PLUMBING PE,RMI'T' �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUIL RG SAFETY VISION
BIRRG
I COUNTY NGINEERADDRESS j4;f
WILLIAM A.JENSEN,SUPT of BUILDING F CALITY
ss
FOR APPLICANT TO FILL ni ARF�T
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET um
RATE TOR ADD
SHOWER NO.
LAVATORY CONTEACTO .
sm ADDRESS
DR3HWASH88 CITY 60
w TEL. NO.
CONTRACTOWS STATE
LAUNDRY TOSREGISTRATION NO. COUNTY ❑
CLOTHES WAMIER DISTRR`ICT NO. GROUP ZONE PmsS BY
WATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
IINNSPECTION RECORD
F
r V
B $1.00 PER ITEM
OR FDITORE $ l� •ua
APPROVALS DATE INSP CTOR*SSSIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK 7, g�c. Pd.&—
TOTAL FEE d ROUGH PLUMBING .l/� A ,.w .dI l
r --
GAS PIPING -
I 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 HOT WATER HEATER
PLUMBING. n
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 2,� & -Q
LICENSED AS AS REQUIRED BY LOS ANGELES COUM. AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LLEGAL OWN OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE /
OF PERMITTEE FINAL
)F VALIDATION ROBERT A. OD,
B.0. GASB SUPERVISING MECHANICAL ENG'R
.. Lf IIJO3 l J. 6 0 JUL 5 5 0 TO 0 t�'