HomeMy Public PortalAbout5328 SULTANA AVE_Plumbing__ 76AG07.pee;llh-0.e1 C
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES .f-3 v
DEPARTMENT OF COUNTY ENGINEER
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�DINCLM SAFETY DIMION JO N AM IE COUNTYENGINEERWILLIAM A JENBEN BUF i of BUILOINO FOA APPLICAM TO PIIS IH NUMBER FIXTURE OR ITEM EACH PEE L 2STA
WATER CLOSET P 75 JBATH Toa 12MAIL
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SHOWER 175 CITY -e TEL NLAVATORY 175 CONTRACTORSINS 175 J ADDRESS DDISHWASHER 175 Cm /V e N TEL NCONTRACTORS //LAoIIDRY TT1R 175 j%J MQIRTRATION NO (Q L
CLOTHES WARIffiR 175 ✓.J DISTRICT NO GROUT ZONE ERRED BY
WATER HEATER 150 Q
GAS SYSTEM -lOUTLETR 150 p INDUSTRIALWASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 50 1NSPECn N RECORD// u
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At"' 1S r I DAlfE, INp CTOR6¢)OMATURK
PERMIT f z 0O- UNDER WORMma"
ROUGH PLUMBING ]
TOTAL FEE I GAS PIPING
I HEREBY ACKNOWLKDGK THAT 1 HAVE READ THIS APPLIG ION GAS VENT
AND STAT¢ THAT THE MOVE 1¢ CO MARCY AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCKS AND PATE LAWS RRGULATINO HOT WATER HEATER
PLUMBING
1 MERELY CERInY THAT I AM PROPulY RKGIST¢RRO AND/OR PLUMBING FIXTURES
LIC¢NSRD AS RLOUIRED BY LOS ANGELES COUNTY AND STAT¢ OF GAS TEST
GLI PORNIA OR THAT I AM THE "CAL OWNER OF AND INTEND TO
RESIM IN THE ABOVE DESCRIBED REID¢NTIwt PRo RrY UTILITY CO NOTIFIED
SIGNATURE /
OF PERMITTEE
FINAL
ATION ROBERT A WOOD
cK M G CASH SUPERVISING MECHANICAL ENG R
L�o837� s 50 13.75Q '