HomeMy Public PortalAbout5638-5638 1/2 SULTANA AVE_Plumbing__ 76A 8 can•°°a ee APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFEPY
DepozbLBnt of County Engine[ L, �N
County of Loa Ang*l"
WM J FOX COUNTY ENGmim BUILDING J
ADDRESS
CA98ATT D GRIFFIN BUP i of Eu1LDINO
LOCALITY
FOR APPLICANT TO FILL IN NEAREST it
CROSS 6
OWNER DISTRICT NO GROU 2 N I READY FOR INSPECTION
MAIL J3p��_
ADDRESS o V
INDUSTRIAL
CITY TEL NO WASTE AP ROVA
PLUMBERJ INSPECTION RECORD
ADDRESS / L • I
c1TY �I '
44
LICENSE NO ! Q p/ F
NUMBER "PR OF FIXTURR OR ITEM FTE
WATER CLOSET (TOILET) S
BATHTUB
SHOWER
-'LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHE
TOTAL NO o Bo APPROVALS
DATE INSPECTOR SSIGNATURE
GAS SYSTEM OUTLETS 100 _
WATER HEATER 100 UNDER SLAB WORK
PERMIT 1 00
ROUGH PLUMBING
f
OAS PIPING
TOTAL FEE GAS VENT
1 NEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES l SS
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ` 4
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITYCO NOTIFIED
DESCRIBED RESIDEPROPERTY
SIGNATURE
OF PERMITTE NTIAFINAL `I Z ss
i
WILLIAM J FOX,COUNTY ENGINEER VALIDATION R A WOOD.CHIEF PLBG INSPECTOR
L5 9 9 57^ M26 3 11 .0 0 'p