HomeMy Public PortalAbout4851 ROBINHOOD AVE_Plumbing__ ,6A687-CF:817-8.57
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
)EPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING � r
ADDRESS
OHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
WATER CLOSET OWNERMAIL
BATH TUB ADDRESS w ol
SHOWER CITY TEIA.NO
LAVATORY CONTRACTOR .
SINK kDDRASS
DISHWASHER C .NO. Q ��
LAUNDRY TUB CONTRACTOR'SSTATE
REGISTRATIONNO. COUNTY El
CLOTHES WASHER
' DIS TRI T NO. I G:r READY FOR INSPECTION
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD-
r1-0
APPROVALS
$1.00 PER ITEM // d 'a DATE _INS_PECTOR'S SIGNATURE ,
Z_ OR FIXTURE $ / UND R.SLAB WORK
ROUGH PLUMBING
PERMIT S 11.0()
.00 ,
O .GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER w
AND STATE THAT THE ABOVE IS-CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE: LAWS REGULATING PLUMBING FIXTURESa
PLUMBING.
1 HEREBY CERTIFY THAT 1 .AM. PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AMITHE LEGAL OWNER. THE ABOVE UTILITY CO. NOTIFIED
DESCRIB%D RESIDENTIAL 0 ERTY.
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SIGNATURE
OFPERMITTEE FINAL
A. WOOD,
ALIDATION ROBERT
SUPERVISING MECHANICAL.ENG'R
., CK. M.0. CASH _
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