HomeMy Public PortalAbout6016 SULTANA AVE_Plumbing__ o�u
78 887-C ER817 5/69
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY RMSION BUILDING
JOHN A. LAMBIE. COUNTY NGINEER ADDRESS
WILLIAM A.JENSEN,SUPT OF BUILDING +
LOCALITY
FOR APPLICANT TO FILL IN
CROSS S
T.. r/ I
NUMBER FIXTURE OR ITEM EACH FEE OWNER20o e
WATER CLOSET $1.25 MAIL
t
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY .. TEL. NO.
LAVATORY1.25 CONTRACTO f
SINS 1.25 ADDRESS I
t DISHWASHER 1.25 CITY TEL. NO. Q
LAUNDRY TUB 1.25 CO C.TOR'8 r STA
TE Cl
REGISTRATION NO. d COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1:50 "DC7 Q � �Gi j-
GAS SYSTEM OUTLETS AAP
130 WASTE PPPRa
OVAL O
OUTLETS OVER S PER SYSTEM .90 INSPECTION RECORD V
0
r
a
N
. Z
I
,
APPROVALS DAT INSPECTOgrS 6/jGNATURE
PERMIT $ . 2 00 UNDER SLAB WORK �'
Z ROUGH PLUMBING f
TOTAL FEE .J GAS PIPING
1 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 FIEOULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM. PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND 1 TEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPE UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
VALIDATION
ROBERT A.WOODI ..
M.O. CASH SUPERVISING MECHANICAL ENG'R
"J6- 9-7 4 o;,,NN 4 5 D