HomeMy Public PortalAbout6343 SALTER AVE_Plumbing__ •R APPLICA`T'ION FOR PLUMBING PERMIT �
DEP RA TNIF�NT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION aUlr.DnvG
JOHN A. LAMBII-. COUNTY ENGINEER ADDRESS 2,
WILLIAM A.JENSEN.SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEEARTT
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NUMBER FIXTURE OR ITEM
WATER GLOSSY OWNER
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Ir LAVATORY CONTRACTOR
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DISHWASHER CITY TEL NO..
CONTRACTOR'S STATS ❑
LAUNDRY TUB REGISTRATION NO. COUNTY 0.
CLOTHES WASHER DISTRICT NO. GROUP I ;&ON EMOCESSED BY
WATER HEATER
GAS SYSTEM INDUSTRW.
WASTE APPROVAL
INSPECTION RECORD
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER.SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. I HOT WATER HEATER
1 HEREBY CERTIFY THAT I AY PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA -OR THAT 1 AN THE LEGAL OWNER OF THE ABOVE l
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE FINAL
�+ VALMATIONr-,ROBERT A.WOOD,
CB. E.0. GASB/)SUPERVISING MECHANICAL MG'R
C,:C08 9 2 5 JUN 21 5 Q 13.0 0
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