HomeMy Public PortalAbout5949-5951 PRIMROSE AVE_Plumbing__ "ASS74M17-&58
APPLICATI:ON FOR PL.UMI3ING PERMIT
COUNTY OF LOS ANGELES
DEPAR714M OF COUNTY ENGWEER
BUMMG AND SAFETY DMSION - 8>1ILn>z�G
1OHN A. LAMBIE:Countyg ees ADDRESS IZ/ 2 d,5
QASSATT D.GRIFFIN.Snp t of Mudding LOCALITY P14 PG,E C /
FOR APPLICANT TO F= IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
rY
owNER o / ` o T o
wATER CLOSET
RATE TOB ADDRESS
SHOWER CWTS A/ TEL.No.
LAVATORY CONTRACTOR 8Y Plumbing Co.
ADDRESS 442 wo Fleetwood Pg,,
DRSEWASHSR ciff Glendora TEL.NO. Ed 5®12
CONTBACTORWS IbU047 STATE ❑
LAUNDRY TUB REGISTRATION NO. COONTY
CL07F»o4 WASEEB ,DISTRICT NO. GROUP ZONE P CESSED BY
WATER HEATER - '-+ 16-3 s l�
GAS SYSTEM INDUSTRM
WASTE APPROVAL
INSPECTION RECORD
:;S'2/a� �'I2 T�ir✓�
APPROVALSAf Affe1.,? ' F9&,V
08 O:PER nwK 6,0 FIX1'IIRE
DATE IN SIGNATURE
-267
UNDER SW6WORK 11 ,n- �Em K ti, .✓t
PERMIT - $ 2100 ' ROUGH PLUMBING "&)
TOTAL FEE GAS PIPING C-11
1 HEREBY ACKNOWLEDGE.THAT '1 HAVE READ_THIS I,ICATIOH GAS VENT O
d �.n
AND STATE THAT THE. ABOVE IS. CORRECT AND-
TO COMPLY HOT WATER HEATER
c WITH ALL COUNTY •ORDINANCES AND STATE LAWS REGULATING
PLUMBING. "" PLUMBING FIXTURES_.
I HEREBY :CERTIFY THAT I AM PROPERLY=-REGISTERED AND/OR GAS TEST N
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -
C CALIFORNIA OR THAT I AM THE LEGAL 'OVM OF THE ABOVE UTILITY'CO.NOTIFIED ISL A&iSw0J-/"f
' DESCRIBED RESIDENTI PROP TY. - -
I
SIGNATURE
OFPERMIITE FINAL_ �'' � ®( ��J�x7F/; 1�
ROBERT A.WOOD.
®F VALIDATION SUPERVISING MECHANICAL ENG'R
• CH. B.O: CASH
�
1071. 1 6 NOV 6 5 A l 7.0 C
R.