HomeMy Public PortalAbout6124 SULTANA AVE_Plumbing__ 78A667-CE817-8-58 .
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
_JOHN A. LAURDL County i'a0iaeez
CASSATT D.GRI"IN Sup t of u,,Lg LOCALITY
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FOR APPLICANT TO ML IN NEAREST
CROSS ST. .
NUMBER FIXTURE OR ITEM
OWNER o
WATER CLOSET NAM
BATH TUB ADDRESS J
MOWER CITY NO.
LAVATORY CONTRACTOR a et
SDS ADDRESS 442 W. e®t1wood pl.
Ed 5-12
DISHWASHER CITY G i endo ra Tn.NO.
LAUNDRY TUB CONTRACTOR'S 1608 STATE [IREGISTRATION NO. COUNTY ❑
CLOTHES WASSERDI11: G Oti U>?. Z• I� AlOWCESSAY'o
WATER HEATER y'J
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
® @ IAO PER ITEM
�g rnrr E DATE 1N,,SP CTOR'S/SIGNATURE
UNDER 8 B WORK
PERMIT $ 20. ROUGH PLUMBING ,
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
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 PER
SIGNATURE !moi
OF PERMITTE FINAL ; i
ROBERT A.WOOD.
®p ALIDATION SUPERVISING MECHANICAL ENG'R
CK. H.0. CASH
W
LAr01'7 4 6 9t AUG 2:6 5 A 1-2.00
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