HomeMy Public PortalAbout5946 PRIMROSE AVE_Plumbing__ 76A6G7 17 6-60_ ' /.'��✓l /` el' `
APPLICATION FOR
PLUM-BI G E MIT,
COUNTY OF LOS ANGELES G�
DEPARTMENT 'OF. COUNTY ENGINEER
-BUILDING AND SAFETY DIVISION BUILDING
JOHN A..LAMBIE. COUNTY ENGINEER ADDRESS d.
WILLIAM A.JENSEN.SUPT OF BUILDING
iOCALITY `
FOR APPLICANT TO FILL IIsi ,NEAREST
.'CROSS ST.
NUMBER FIXTURE OR ITEM - I'.OWNER /�, �✓
WATER CLOSET aMAIL
BATH TUB ADDRESS.
CITY . TEL.Im 6
SHOWER
LAVATORY _ {CONTRACT
smADDRESS
,
DISHWASHER lCIYY TEL. NO. `
CONTRACTOR'Sn STATE LI
LAUNDRY TUB REGISTRATION NO. o� COUNTY
CLOTHES WASHER :•:DISTRRIICTNO. GROUPZONE P O ED BY
WATER HEATER 5 DLl
; GAS SYSTEM DiDUSTRIAL
WASTE APPROVAL
Di=CTION RECORD
r
W PER r=
OS FDCTUREE $ I 16-15) i
iAPPROVALS DATE INSPECTOR'S SIGNATURE ~
PERMIT $ 2. 00 UNDER SLAB WORK
TOTAL FEE ' ROUGH PLUMBING
GAS PIPING /I
HEREBY BTATE THAT THEDGE THAT I READ THIS APPLICATION
ABOVE IS CORRE T AND AGREE TO
ANDCOMPLY GAS VENT I�yy I 1 �`Ai `
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER /I I/J 1�•2 I/xx s/ /
PLUMBING. -
1 HEREBY CERTIFY TH ! AM PROPg Y REGISTERED AND/OR PLUMBING FIXTURES'
LICENSED AS REQUIRED Y LOS ANGE dlY COUlfry AND STATE OF GAS TEST
CALIFORNIA OR THAT AIS THE L 67 N R OF THE ABOVE
DESCRIBED RESIDENT L P PERTY. UTILITY CO.NOTIFIED
r
SIGNATUREVAI
OF PERMITTEE _ FINAL MOI , ;W 4fj✓
�r VALIDATION ROBERT A.WOOD.
'H.,O. cm SUPERVISING MECHANICAL ENG'R