HomeMy Public PortalAbout5625 3/4 SULTANA AVE_Plumbing__ 761186/-M17_S-58
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTNENT OF COUNTY ENGIINEES
BUILDING AND t6SAFETY pDIVISION BDA /
CA88AYSLD GHD?Put.BapM1 d DaaV g LOCAuir
FOR APPLICANT TO FILL IN NEABEBT
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NUMBER FIXTURE OR ITEM
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OAM
WATER CL0881' p
BATH TUB ADDRESS a� 7 a)U ,
SHOWER �r T NO
/ LAVATORY OONTBACIOH
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DISHWASHER cnT T' TEI..NO797
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LAUNDRY TOB 0
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R]d�rBaTION N0. o 0 9
I CLOl8P9 WARM DISTRICT O GROUP ONE P ED BY
/ WATER HEATER _ 57
/ GAB srurm UDDBIBIAL
WASTE APPROVAL
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It,I6 rq Lo RR APPBOVALS
a A 00 PER 17DL
R PIISOBB 11 � OO H E GATE INSPECTOR SSIGNATURE
UNDER SLAB WORK -S
PERMIT S 2 00 ROUGH PLUMBING-rt) - Q
TOTAL FEE p f1 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING
PLUMBI I RES
I HERESY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GASTEST I
CALIFORNIA OR THAT 1 AN THE LEGAL OWNER OF THE ABOVE UTII ITY CO 1 IED -
DESCRIBED RESIDENTIAL,
OP� `
SIGNATURE �CLv/J /
OFPERMITTEE FINAL
ROBERTA WOOD
I Or \,VALIDATION SUPERVISING MECHANICAL ENO R
u m u
LACO2863St SP18 5 A 9.00