HomeMy Public PortalAbout6322 PRIMROSE AVE_Plumbing__ 76A607-CE81710-60 �fL(
APPLICATION FOR- PLUMBING PERM-IT
COUNTY OF LOS ANGELES -
DEPARTMENT OF COUNTY ENGRMIEER
BUILDING SAFETY BUILDING
JOHN A. [VI IE.COUNTY GI>SIEER ADDRESS •Z- }tti► 0
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
77—C Ju 12 t f— G L
REARES
FOR A>WCANT TO MI. IN CROSS ST. Lo X
NUMBER FIXTURE OR ITEM OWER /V{IL L l� C_
2— WATER CLOSET MAD:
ADDRESS
)' BATH TUR
CITY TEL.NO.
SHOWER
CONTRACTOR
LAVATORY
ADDRESS 3 3 3 1ZLo/ Nc �,
sari
DIR WASHER CITY L.L. TEL.NO. L-1J 7 rI xj—
TATE
LAUNDRY TOS REGISTRATION NO.XRACT 'A "- Coulm
f CLOTHES WASHER DIST CT NO. GR NE P SSED BY
j WATER BEATER _ ' a
GAS SYSTEMI INDUSTRIAL
WASTE APPROVAL }-
j o (^ INSPECTIO ;RECORD
A. itJtM�
OR FIXTURE i ! s� O APPROI%AL.SI DATE INSPECTOR'S SIGNATURE
PERMITS 2100 UNDER SLAB WORK 092 :2— 7 �Yt.✓
TOTAL FEE ROUGH PLUMBING 4 9'—( t r.✓n
GAS PIPING `_\
I
HEREBY AGICNOWLEDGE THAT I HAVE READ THIS APPLICATION - r
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. 7 ,r
I HERESY CERTIFY THAT I AM PROPERLY REGISTERED• AND/OR PLUMBING FIXTURES �..✓.�/�tlJ t�'it'�
LICENSED AS REQUIRED BY LOS ANGELESCOUNTY AND STATE OF 'GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER. OF THE ABOVE
DESCRIBED RESIDENTIAL PROP UTILITY CO.NOTIFIED ' w
SIGNATURE -
OF PERMITTE FINAL
ALIDATION ROBERT A.WOOD
cK. M.O. ' CASH SUPERVISING MECHANICAL ENG'R '
LAIG0 2 9, 5 l ZI AUG 14 5 D 17.5:0- q