Loading...
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