HomeMy Public PortalAbout5627 SULTANA AVE_Plumbing__ �eAe�clav>,-sB /�J�l/
/-osf✓.��/ APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER / J
BUILDING AND SAFETY DIVISION B�e>BBG �(O S✓�% iV'��
IOHN A L1187BIE Cemt�Emm�RRr :y
TT D URTFEW Bup! .1 9mldtep LOCALRY ,
FOR APPLICANT TO FILL IN NEAREST 3 ��
CROSS sr
NUMBER FIXTURE OR ITEM OWNER O /s
WATER CLOSET MILM
ADDRESS
RATS TDB
SHOWER CRY TEL NO
/ LAVATORY CONTRACTOR FONT
STN[ ADDRESS
DISHWASHER CRY OfIPL
CONTRACTORS
LAUNDRY TUB REGISTRATION NO 9 COUNTY
CLOTHES WASSM DISTRICTN I = OrA I P OCESSMfi
/ WATER HEATER sr 10
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GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
HISPBCTION RECORQ
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APPROVALS D 'TC INSPIC741148IGMATURE
PERMIT S Y 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING /AJ !
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
1 HERESY CERTI►Y THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REpUIRED BY LOB AMGELEB COUNTY AND STATE OF GAS TEST
OR THAT AM THE LEGAL OWNER F THE ABOVE
SIGNDESCRABEDTURE
RESIDENT JEUP TT UTILITY CO NOTIFIED
SIGNATURR
OP PERM I7TE FINAL
�I VALIDATION ROBERT A WOOD,
OE ■ o GAB SUPERVISING bIECHANICAL ENO R
UEO6990 —� MAY -11 5 0 9.00
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