HomeMy Public PortalAbout5923-5923 1/2 RENO AVE_Plumbing__ 78A887--CE817-848
APP LIC�ATION FOR PLUMBING PERMITCOUN1
GELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY Countr Engineer EA':D:DR2MS
NG
CASSAYT D.GET ,SWt o!Building
ITY ✓
FOR APPLICANT TO FILL IN ST on
GL'
NUMBER FIXTURE OR ITEM CROSS ST.
WATER CLOSET OWNER
MAII.
BATS TUB ADDRESS
SHOWER CITY TEL NO.
LAVATORY CONTRACTOR �
i
Sig ADDRESS /
DISHWASHER CITY' TEL.NO. r .. o
CO CTO 'S STATE
LAUNDRY TUB R(GR;TRATION NO. r3 COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP ZONE P SEED BY
WATER HEATER
< Ilk—
GAS SYSTEM. INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
��11 I APPROVALS
OS uFLEMBE $
DATEINSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT S 2100 ROUGH PLUMBING
TOTAL FEE Q GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE 'ABOVE 15 CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM HE OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL ER
SIGNATURE
OF PERMITTEE FINAL
ROBERT A.WOOD.
®p SUPERVISING MECHANICAL ENG'R
&VALIDATION
H.C. CASH ,
� . LAUO 45O4fulk' APR3 5 A 3.00 M