HomeMy Public PortalAbout5921 SULTANA AVE_Plumbing__ r •a t ,
78A86APPLICATION FOR PLUMBING PERMIT 1
CE a17 8--SR
.ZUILDngG AND SAFETY DMSION
Department of County Engineer _
County of Los Angeles BUILDING
JOHN A.LAMBIE,COUNTY ENGINEER ADDRESS
CASSATT D,GRIFFIN.SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST f
y r CROSS ST. =NG- ^"
OWNER ` ? � r LCi DISTRIC O. OUP ZONE READY FOR INSPECTION
MAIL 1: GROUP r
ADDRESS 00
//
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
INSPECTION RECORD
ADDRESSiJ./���� [%z• '
CITY - Jc4�/�L'[�'� TEL.NOit ��i7,7Y ��/ p �y
LICENSE NO. / �[J �� �- t3 D�� d (_�rl�L"L! 4"h i�F f1 i�ip"S
NUMBS/R TYPE OF FIXTURE OR ITEM FEE p n
/ WATER CLOSET (TOILET) @ $1.00
BATHTUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASHBASIN) @ $1.00
/ KITCHEN SINK @ $1.00 �1N1JE.C' c117' 'PIER
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00 �_C f /7 f J 7)R
CLOTHES WASHER @. $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
,/!C'a'd
APPROVALS �Qy
LOGIT DATE' y INSPECTOR'S SIGNATURE
UNDER S1,16 WORK
PERMIT $ 1 00 ROUGH PLUMBING
;A GAS PIPING G
TOTAL FEE CJ GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION /
CAWO-
AND STATE THAT THE ABOVE,IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT I AM•PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF - B
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF TH % O'VE UTILITY CO.NOTIFIED !'
DESCRIBED RESIDENTIAL PRTp-"`T�,
�/SIGNATUR ® • � .i !OF PERMITTEE-- ' [ FINAL J 1 Ff/tN
ROBERT A.WOOD.
JOHN A.LAMBIE,COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG'R
CS. td.O. CASH
L02,1 4S AR 24 3 A 8.00 9