HomeMy Public PortalAbout5616 SULTANA AVE_Plumbing__ o:.°,TIA,. APPLICATION FOR PLUMBING PERMIT I
DIVISION.OF BUILDING AND SAFETY
DBparbnBat of County EEnglneor
• County o1 Lw Angel" BUILDING
JOHN A LA�.IBIE COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN.SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
ROSS ST
OWNER D18TRIGT NO GROUP ZONE I EUOY Ion Iger EDTION
MAIL yjv ) ' S
ADORINDUEHS rr
CITY. TEL N Q6 WASTCAPPROVAL
PLUMBERINSPECTION RECORD
4z lei,
ADDRESS i
CITY EL NO S
4
LICENSE NO
NUMBER TYPB OF FIXTURE OR ITEM FXn
WATER CLOSET (TOILET) ® it 00 E
BATH TUB @ i1 00 '
SHOWER Q i1 00 . 1
LAVATORY (WASH BASIN) ip it 00 ..L. r
KITCHEN SINK Q it 00
DISHWASHER 0 $t 00
LAUNDRY 7UBORTRAY $too
CLOTHES WASHER a if 00
WATER HEATER @ ii 00
GAS SYSTEM t 00
APPROVALS
DATE INSP CTOR S SIGNATURE
UNDER BLAB WORK l
PERMIT i 1 00 ROUGH PLUMBING V
GA8 PIPING
TOTAL FEE C
GAB VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATHR HEATER
AND !TATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LASTEST
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND !TATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE BOVE UTILITY CO NOTIFIED Y
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
OF PERMITTEE FINAL
JOHN A L.AMBIE COUNTY ENGINEER VALMATIO ROBERT A WOOD CHIEF PLBG INSPECTOR
6276�R MY 21 3 $ 00 0