HomeMy Public PortalAbout6247 SULTANA AVE_Plumbing__ 7GA667-CE#817 10-62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 00,
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN, 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 ADDRESS
SHOWER 1.25 CITY TEL. NO.01 —6r
LAVATORY 1.25
CONTRACTOR
e �
SINS 1.75 ADDRESS
DISHWASHER 1.25 CITY a TEL. NODI OJ✓
LAUNDRY TUB 1.25 CONTRACTOR'S ' STATE
REGISTRATION NO. ry/15
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P SSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS
1.50 INDUSTRIAL VY It
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD L)
W,
F
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APPROVALS ATEI INSPEC,TOR'S'�IGNATURE
PERMIT S 2 00 UNDER SLAB WORK ,hw�w
ROUGH PLUMBING bkAll,� C��/`�+1✓(/�
TOTAL FEE GAS PIPING 'r
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY ( /
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING.
PLUMBING. HOT WATER HEATER 1 �,
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF J
CALIFORNIA OR THAT 1 AMT
EGAL OWNER OF AND INTEND TO GAS TEST
RESIDE IN,THE ABOVE DESCRI RESIDENTI R`PERiY UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
LI ROBERT A. WOOD
CK. M..O.0. CASH SUPERVISING MECHANICAL ENG'R
LI'tl,o 7 1 4 2 JILL 8 5 0 1 5-k-10- IT