HomeMy Public PortalAbout5710 SULTANA AVE_Plumbing__ 76A667-CEW7 12/59
APPLICATION OR PLUMBI G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS / d
WILLIAM A. JENSEN. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM
OWNER
® WATER CLOSET MAIL
BATH TUB ADDRESS Lo
Q
SHOWER TY
CITEL. NO.
LAVATORY CONTRACT
SING ADDRESS
DISHWASHER CITY TEL. NO6
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. �` �'� COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP ZONE PROCESSED BY 41
WATER HEATER =:LL)
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECT O;4 RECORD
O
U
a
0
F
U
w
a
- z
0 $1.00 PER ITEM I '7 o-
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ I 2 OO UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING '
GAS PIPING
i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT '--#M
THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI OPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE
FINAL
/�VALIDATION ROBERT A. WOOD,
CK/ Y.0. CASH SUPERVISING MECHANICAL ENG'R
7 i 5 u 5 U LLQ
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