HomeMy Public PortalAbout5137 SULTANA AVE_Plumbing__ 98A06/-CF817-BS8
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGI[NEEH
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FOE APPLICANT TO FILL IN or
NUMBER FIXTURE OR ITEM
OwRES
WATER CLOSEDBATS TDB y �SEOWEB ti SELNDLAVATORY FS y ADDRESS
DISBWASffi CTTT 7EI. NOTRACTOR 8 LAUNDRY TOB RZGIBTRATION NO
CL078ES WASHER D18I'RI NO GROUP SCD BY
WATER EEIITER t
GBS STSTEM DRDUSTRUIL
WASTE APPROVAL
oN RECORD
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p(j APPROVALS
00 PER rrEMI
OS PDSSDRE i $ "'�
p DATE Q INSPECTOR S SIGNATURE
UNDER BLAB WORK p '�•-�/ L
PERMIT $ Y OU ROUGH PLUMBING > 7S
TOTAL FEE D GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT V
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLU BIN IXTI/RES I
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTEM AND/OR AS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM-YHELEGAL OWNER OF THE ABOVE UTILITYCO NOTIFIED
DESCRIBED RESIDENT[
SIGNATURE FINAL I
OF PERMITTE
VALIDATION ROBERT A. OOD
SUPERVISING MECHANICAL ENO R
Y 0 WB
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1