HomeMy Public PortalAbout5726 SULTANA AVE_Plumbing__ 76A667-CE817-8-57� ,
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING
BUILDING AND SAFETY DIVISIONADDRESS �1 7 A c
'L'el
JOHN A. LAMBIE, COUNTY ENGINEER
CA5SATT D. GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER l j
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITY TEL.N.O.
LAVATORY CONTRACTOR
SINK ADDRESS ; `� T c AP N
DISHWASHER _ CITY /19 _ �7 - -TEL.NO. L� �� 6-
LAUNDRY TUB CONTRACTOR'S �,� STATE
REGISTRATION NO. - J✓ �� COUNTY ❑
CLOTHES WASHER
DISTRICT NOS. GROUP ZONE READY FOR INSPECTION
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
t of 1, Q
o- _
APPROVALS
Q $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
OR FIXTURE- 1 UNDER Sbt:a WORK
ROUGH PLUMBING `2
PERMIT S 1100
GAS PIPING
TOTAL FEE o GAS VENT
1 HEREBY 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
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR +. GAS TEST C p
LICENSED AS REQUIRED BY LOS-ANGELES COUNTY AND STATE OF .
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO; NOTIFIED
DESCRIBED RESIDENTIAL PROP RT
SIGNATURE � f
OF PERMITTEE FINAL
ROBERT A. WOOD.
(bs VALIDATION SUPERVISING MECHANICAL ENG'R
CK. H:O. CASH
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