HomeMy Public PortalAbout6241 SULTANA AVE_Plumbing__ 78A887-CE#817 10-82
APPLICATION F R PLUMBI G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN, SUPT OF BUILDING P
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
ADDRESS
SHOWER 3.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS L
DISHWASHER 1.25 CITY (I/ �. y�(t, TEL. NO.drr j a�
CONTRACTOR'S n�a /� COUNTY
LAUNDRY TUB 1.25 REGISTRATION NO. e/ Q7
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROrESSED BY
WATER HEATER 1.50 �� r
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD v
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•�• APPROVALS INSr,ECTSR,S; IGNATURE
PERMIT $ 2 00 UNDER SLAB WORK '�� e✓1! y;j4
ROUGH PLUMBING f r /
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT r
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. �''•''�''� -l.f;�•'
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ��y
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM T LEGAL OWNGAS TEST
/ER OF,AND INTEND TO ..I'
RESIDE IN,THE ABOVE DESC D RESIDENT PROPE Y. UTILITY CO.NOTIFIED 2 ✓ i' L'.��W,r,
SIGNATURE
OF PERMITTEE
FINAL �.� ��,7 6•Jj ��F��Iit�//w.a
VAIJDATION
ROBERT'A.WOOD
M.O. CASH SUPERVISING MECHANICAL ENG'R
Ln+moo 7 1 4 0 ,;UL 8 5 D 1 5.00
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