HomeMy Public PortalAbout5078 SULTANA AVE_Plumbing__ ,039
-78A667_CE817 12,59
APPLICA I0 FOR P MBING PERMIT
Cop y OF LOS ANG�E`RL}FS
DBAR UG]{�OOF CAJO�F�U�NTTYyYTy��'1�lyY`�JJG�,Y„1jO� BUILDING
JOHN A LAT1181C-ouN'F'Y CNGINEER ADDRESS
WILLIAM A JENSEN SIFT 01 BUILDING
LOCALTT!
FOE APPLICANT TO FML IN NEUEST
NUMBER FIXTURE OR ITHM CROBS BY
OWNER
WATER CLOSET -fmm
(, BATH TOB ADDRESS
BOWES CRY TEL. NO
LAVATORY CONTRACTOR Alert P b & H
ADDBE88
1 '39'33 S- Crenshaw RI yd -
nmawAB�e CITY Hawthorne TEmNo os . - 691
LAUNDRY TOB REGISTRATION NO 19 26,17 C-36 COUNNTTY
CLOTHES WASHER DISTRI NO OROU ZONE P CESSED SY
WATER CATER
OAS SYSTEM IITD087�AL
WASTE APPROVAL
U48PECTION RECORD S
o
U
G/b v✓K o
G
IS
&R D esu s
APPROVALS DATE INSPEC.TPR SSIGRATURE
PERMIT S Aloo UNDER BLAB WORK b _v
TOTAL FEE ROUGH PLUMBING
GAB PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ TRIS APPLICATION
AND
STAT! THAT THE ARM 18 CORRECT AND AOR!! TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING tp
FLUBBING HOT WAT"HEATER1 HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/OR PLUMBINLICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STAT! OFOAB TESTCALIFORNIA OR THAT 1 AN THE LEGAL OWNER OF THE ABOV[0[SCBISlD pF¢IO[NTIAL PBO UTILITY
SIGNATURE
OF PERMI FINAL
®r OVAMATION ROBERT WOOD
u ■ 0 SUPERVISING MECHANICAL ENO R
LAEO5458AFR13 5 D 900
/vMwT�/