HomeMy Public PortalAbout5403 ROBINHOOD AVE_Plumbing__ 76A667-CE817-11-57
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER r ,
BUILDING AND SAFETY DIVISION BUILDING p ,0 B O
JOHN A.LAMBIE. Count eer 11 BE
TT D. GRIFFIN. Supt of Building
LOCALITY
FOR APPLICANT TO FILL-IN NEAREST
NUMBER FIXTURE OR ITEM
WATER CLOSET OWNER I'
MAIL
BATH TUB ADDRESS
SHOWER CITY TEL. NO.
LAVATORY CONTRACTOR Valley Plumbin CO
S� ADDRESS 442 W. Fleetwood
DISHWASHER CITY Glendora, TEI_ NO. Ed _ 9u
CONTRACTOR'S STATE ❑
REGISTRATION NO. 16084 COUNTY
LAUNDRY TUB
® CLOTHES WASHER DISTRICT NCJ GROUP x'ZONE READY FOR INSPECTION
WATER HEATER
Y GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
.t. INSPECTION RECORD
rt MF
A
1
IR
APPROVALS
$1.00 PER ITEMa'—°
$ `� _.-•,.,� DATE IN ECTOJYS SIGNATURE
a LO OB FDLTUBEUNDER 88l'B-WORK n
PERMIT $ O ROUGH PLUMBING
I' TOTAL FEE GAS PIPING �q
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I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIIf APPLICATION GAS VENT
`t AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
" PLUMBING. PLUMBING FIXTURES
i; I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST , ,faiy�ea..+�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
At
CALIFORNIA OR THAT 1AM THE LEGAL OWNER OF THE ABOVE UTILITYCO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
IF
SOFPERMIT7 ' h �✓�r1% FINAL !L
ROBERTA.WOOD.
VAIL
VALIDATION SUPERVISING MECHANICAL ENG'R
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