HomeMy Public PortalAbout5525 SULTANA AVE_Plumbing__ M
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7eAeeT.Ee"517 B/ 7->4'APPLICATION FOR PLUMBING PERMIT
COUNTY Of LOS ANGELES
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WILLIAM A JENSEN SUP T OF OUILDINO lO_cmJ7Y;72 44,,>A-jr (f
FOR APPLICANT TO FELL IN WIT >^ o
NUMBER FIXTURE OR ITEM EACH PEE
OWNER J (J
/ WATER CLOSET $12s ,� S fly �/'
RATH TUR 125 ADD /•
SHOWER 125 C=/. TEL NO
// LAVATORY 125 CONTRACTORAlert Plumbing A fient--in
Rna 115 f` ADDS 13933 So. Cren3ha
DISHWASHER lf5 CITY Hawthorne TEL No OS 93691
CONTRACTOR 2 TE
LAUNDRY TOE 125 REGISTRATION No 193617 C-36 cOUNTTY 8
CLOTHES WASHER 125 S DISTRICT NO GROUP ZONE PROCESSED BY
WATER HEATER 150 / SD S p T 1 Z'—,3
-GAS
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OAs SYSTEM—OUTLETS 1
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM 50 UFSPECTION RECORD U
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APPROVALS DATE- INS CT011°°IGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING (�
I HKRNBY ACKNOWLEDGE THAT I HAVE HEAD TRI• LIG ON GAS VENT W ��
ANO STATE THAT THE ABOVE IE CORRECT AND AORIM TO COMPLY
WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING
PLUMBING HOT WATER HEATERS
I H°R[BY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED EY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE "CAL OWNER OF AND 1M 13 TO
REFI M IN Y M E ANDY D[SC 1 ID[NTIAL PROPERTY UTILITY CO NOTIFIED G
SIGNATURE
OF PERMITTEE g. Pr
FINAL 7
/VLIDATION ROBERT A WOOD
\(C K✓L M o cr.°M SUPERVISING MECHANICAL ENG R
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