HomeMy Public PortalAbout5944 PRIMROSE AVE_Plumbing__ uz;e el
76A667-CE817 12/59raw
/
APPLICAMN FOR PL.U`MBING PERMIT
COUNTY OF LOS.ANGELES _
DEPARTMENT .OF COUNTY ENGDME
BUII.DII GLAND SAFETY IVISION - BUit.Dnvi; #
JOHPI AM'BI COUNTY' NGINEER ADDRESS
WILLIAM A.JENSEN.Sup T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST;
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET Kam
BATH TUB ADDRESS' t
CITY TEL NO:
SHOWER
CONTRACT-6
LAVATORY
am ADDRESS
DISHWAMM CITY NO.•.' Z 4,6
CONTRACTOIrS SPATE
LAUNDRY TUB REGISTAATION NO. COUNTY ❑
CLOg WgSHgR DISTT No GROUP ZONH'. P SSHD'BY
WATER HEATER r
GAS SYSTEM INDUSTRIAL `
WASTE APPROVAL ! f
/"I r INSPECTIQN RECORD /7)/ /
� O
Wj
+ M
W OR FDClTUBE $ I. S.•r
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH; LUM13ING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY y
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WAVER HEATER /J 2�
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLYREGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY .LOS ANGELES COUNTY AND STATE OF GAS TEST l
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMUTE FINAL G'���✓ `"�
by �VALMATION ROBERT A OdD.
M.0.- CAM 'SUPERVISI MECHANICAL ENG'R
'L&3 0 7 8" AUG15, 5 D 3.50-
" k