HomeMy Public PortalAbout5716 SULTANA AVE_Plumbing__ 76A967=CEB17-8-57 /� `•
APPLICATION. FOR, PLU BINE PERMIT 1
COUNTIP OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION [BUILDING
DDRESS.JOHN A. LAMBIE,COUNTY ENGINEER
CASSATT.D..GRIFFN, SUPT OF BUILDINGOCALITY.FOR APPLICANT TO FILL IN EARESTROSS S .:=
NUMBER FIXTURE OR ITEM
OWNER
Q WATER.CLOSET MAIL
CJ BATH.TUB ADDRESS
SHOWER CITY ] TEL.NO.
Q .LAVATORY CONTRACTOR
Q SINK ADDRESS ,/
DISHWASHER CITY w TEL.NO. llv(e
LAUNDRY TUB CONTRACTOR'S / STATE
REGISTRATION NO. �` �� � COUNTY ❑
CLOTHES WASHER
DISTR•CT G OUP ZONE RE FOR INSPECTI
WATER HEATER = �
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
:. _jdloll
APPROVALS
' $1.00 PER ITEM. DATEINSPECTOR'S SIGNATURE
UNDER SLAB WORK // I/',. !_
OR.FIXTURE $ I/"' �!,cr
ROUGH PLUMBING
PERMIT $. 00
GAS.PIPING �r
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE.THAT THE ABOVE IS CORRECT AND AGREE TO ZO.MPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/.OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES .COUNTY AND STATE: OF sem`
CALIFORNIA OR THAT I .AM THE LEGAL: OWNER OF ABOVE UTILITY CO. NOTIFIED
DESC.R.I.BLD RESIDENTIA ROPERTY. 7 I
SIGNATURE
OF PERM ITTE FINAL
®: ROBERT A.W0 ,D,
ALIDATION SUPERVISING MECHANICAL ENG'R `
CR. N.0. CASH
,7JLzv I ? 5 D 44 ( 11, lr
l�
76A667-CE617 -57
APPLICATION FOR PLU BING PERMIT 1
COUNTY' OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS CG�1
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN. SUPT of BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS S
NUMBER FIXTURE OR ITEM
/ OWNER
10 WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITY ��� TEL.NO.
/ ,9 LAVATORY CONTRACTOR aJ
SINK ADDRESS
DISHWASHER CITY TEL.NO.
LAUNDRY TUB CONTRACTOR'S b STATE
�.
REGISTRATION NO. COUNTY
CLOTHES WASHER
DISTRI G OUP ZONE I RE FOR INSPECTI
WATER HEATER Jr
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD �+
/ S Q L izg
APPROVALS
$1.00 PER ITEM L DATE INSPECTORS SIGNATURE
OR FIXTURE $ UNDER SLAB WORK
ROUGH PLUMBING
PERMIT s 00 _
GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT I 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
PLUMBING.
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF ABOVE UTILITY CO. NOTIFIED
DESCRIBLD RESIDENTIAje7ROPERTY.
SIGNATURE
OF
FINAL
OF PERM ITT
VALIDATION ROBERT A. WOOD,
SUPERVISING MECHANICAL ENG'R
CM.O. CASH
J 4. 4 .