HomeMy Public PortalAbout6049 SULTANA AVE_Plumbing__ 7BU87--CE817 8.58
APPLICATION FOR PLUMBING PERMIT. � =:
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BULUING
1OHN A.LAMBIE, Count . or ADDRESS nlyC C7
CASSATT D. GRIFFIN,Supt of uading LOCALITY
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FOR'APPLICANT TO Ft l IN cEARESROSS T.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSETblAL
/ RATE TUB ADDRESS
CITY TEL NO.
SHOWER
f LAVATORY CONTRACTOR c(
/ slNs ADDRESS /
DISHWASHER CITY TEL NO. O `p 7410;3 .
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. C'39- 166- v2R COUNTY p
CLOTHES WASHER DISTRICT NO. •—GROUP ZONE PPLOCESSED B
` WATER HEATER ger-e
GAS SYS= INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
5 1 -
U� Tey' a A/y+
F
OR FDCT = $
APPROVALS DATE INSPECTOR'S
ySIGNATURE
/(9
PERMIT $ 2 00 UNDER SLAB WORK �".. �/�,p //
TOTAL FEE ,9tJ ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
LWCALIFORRIA
ALL COUNTY ORDINANCES AND. STATE LAWS REGULATING HOT WATER HEATER
BING,
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
NSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST /AI L Orv!/M
OR THAT I AM THE LEGAL 'OWNER OF THE ABOVE
RIBED RESIDENTIAL PROPER �r
UTILITY CO.NOTIFIED s
ATURE PERMITTER `
FINAL •q
®o VALIDATION ROBERT A.WOOD,
E.0. CAM SUPERVISING MECHANICAL,ENG'R
L��,� �, G OCT ? 1 5 p c