HomeMy Public PortalAbout6137 SULTANA AVE_Plumbing__ 76AG67-CENS17 12-64
' 'APPLICATION FOR PLUM16ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT, OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING / / �J
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS W
COLEMAN W. JENKINS,SUPT OF BUILDING, LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25
MAIL
BATH TUB 1.25 ADDRES
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1,25 CONTRACTOR_
SINS 1.25 ADDRESS +y y
DISHWASHER 1.25 CITY TEL.NOS I5`47, '
CONTRACTOR'S STATE-
LAUNDRY TUB 1.25
REGISTRATION NO. f Z 7 I COUNTY ❑
CLOTHES WASHER 1.25 DI�ICT0._ GROUP ZONE E BY
WATER HEATER 1.50 ovv
GAS SYSTEM OUTLETS 1.50 �Q INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD iO.2
H
V
W
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEEGAS PIPING �f�� ���•j��,;Y; �7'yy •'r
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT d v
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 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 I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
LS:IGNATURE
�101,��'
F PERMITTEE
FINAL
VALIDATI ROBERT A.' VOOD r
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
JALo 5 8 9^ SEP 2 4 5 D 3.50-
r
76A667-CE817 12/59
APPLICATION FOR PLUMBIN E,RMITVI
COUNTY OF LOS ANGELES
DEPARTOF COUNTY ENGII�iEER RvizDnrG
BUIr7% D SAFETYMSION
JOBI COUNTY NGINEER ADDRESS ole
JENBEN,8UP'T OFBUILDING LOCALITY lo '
FOR APPLICANT TO FILL IIsi NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET KAL
RATE TOB ADDRESS -
CITY TEL NO.
SHOWER
LAVATORY CONTRACTOR
sm ADDRESS
DISHWASHER CITY &iA&IL NO. E
CONTRACTOR'S STATE 5F
LAUNDRY TOB REGISTRATION NO. A h 4 fCOUNTY ❑
CLOTHES WASHER DISTRI NO. GROUP POEIP OC£ D BY
WATER HEATER O U I s
GAS SYSTEM INDUSTRIAL00, ;�!
WASTE APPROVAL
/21„ A /,, l a 9*1 AL.If INSPECTION RECORD
etl"R to)
`P.f.G'
0 $1.00 PER ITEM
OR FDmRE $ IVALS DAT v INSPECT'OR'S SIGNATURE
PERMIT $ 2 DER ORK -. �
ROUGH PLUMBING54/
TOTAL FEE l� I00 UND a �� 'J✓
GAS PIPING d
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION /1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT // r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I 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 THE ABOVE _
DESCRIBED RESIDENTI PROPERTY. UTILITY CO.NOTIFIED
.lJs_.R tel..
SIGNATURE ��
OF PERMITTEE
�.
S
VALMATION ROBERT A.WOOD,
N.0. cm SUPERVISING MECHANICAL ENG'R
Lt P,7 9 0 9 JuiJ 1 O o 12.0 lr
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