HomeMy Public PortalAbout5112 SERENO DR_Plumbing__ 715AW-CE1117&5a 115'/� /
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY BDrVISSIION ABUDUM is
CA88 Yr D GRWIDtCOHPI . Bml�p AnnaF�B ]Blvd LOCALITYFOR APPLICANT TO FILL INxPoSS BYNUMBER FIXTURE OR ITEMOWNER
WATER CLOSET "AH.BATE[TOB ADDRESS
CITY TEL NO.
RaoweR _LAVATORY CONTRACTORam ADDRPss t 93 8. CrenBhaDISHWASHE8 CITY Tffi. NOCOPTBACTORLAUNDRT TUB REGISTRATION NO 16
CLOTHES WARBEB CIS TR1 NO GROUP ZONE P ED BY
WATER NEATER
I GAB SYSTM INDUSTRIAL
WASTE APPROVAL
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APPS ALS DATEINSPECTORINSPECTOR S SIGNATURE
PERMIT s E 00, UNDER SLABIYORK —II-LD
TOTAL FEE / ROUGH PLUMBING
OAS PIPING
1 RESIST ACENOWLlDGE THAT I HAVE MAD TNIS PPL'CATION GAS VENT
AN STATS THAT THE AGOYE IS CORKER AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STAT! LAWS REGULATING HOT WATER HEATER
PLUMBING
1 H!REST CERTIFY THAT I AM PROPERLY Rl'I§, lRED AND/OR PLUMBING FIXTURES All Z71 t
LICENSED AS AEOUIRED By LOS ANGELES COUNTY/ ND STATE Of
GA9 TEST '
CALIFORNIA OR THAT 1 AM THE LEGAL OWNS F THb ABOYE
DESCRIBED RESIDENTIAL A PfiRTT UTILITY CO NOTIFIED
SIGNATURE
OF PERMITT! FINAL 1 6—14-4 6
Or VALIDATION ROBERT A WOOD.
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LfaT6T9.1.IS MAR 1 1 5 A 9.0 0 R