HomeMy Public PortalAbout6017 ROWLAND AVE_Plumbing__ �sAsb'�-cEal�s-so
APPLICATION FOR PLUMBI G PERMIT �
COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY ENGII�tEER
$OHNIAGLAMB E CoEtTiTYY ENGtNe�N ADDS>$S
WILLIAM A.JENSEN.SUPT OF BUILDING
LOCALITY
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FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER7 FIXTURE OR ITEM
OWNER
WATER CLOSET
MAIL
ADDRESS 'L
RATE TDB
CPPY NO.
SHOWER
LAVATORYcoriincT6R
8IIR8 a ADDRESS —
DISHWASHERAll
CITY TEL. NO.
CONTRACTOR'SATE
LAUNDRY TUB r REGISTRATION NO.11g� COUNTY
CLOTEES WASHER DISTRICT NO. GROUP ZONE ED BY
WATER HEATER
GAS SYSTEM % INDUSTRIAL
WASTE APPROVAL
` INSPECTION RECORD
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O
F
® O.00 PER
$ I / 00
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT �! w
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES {
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AN T LEGAL ONfjiFR .THE ABOVE
DESCRIBED .RESIDENTIA RO (f UTILITY CO.NOTIFIED
SIGNATURE Z
OF PERMITTE FINAL
ALIDATION ROBERT A.WOOD,
Cx M.0. antfR SUPERVISING MECHANICAL ENG'R
L, 0 7 9 7 J-0L3 1 5 D 3.00