HomeMy Public PortalAbout6329 SULTANA AVE_Plumbing__ 76A66,7-C #817 2-68 ���
�., APPLICATION FOR PLUM . ING PEZIT
�IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUIL ��er %%? Al.JOHNDING AND A. LAM ES COUNTY EAFETY ING DIVISION
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DRESS C.32 / ggCAI�Q to'Q (�
COLEMAN W. JEN•KINS. SUPT. OF BUILDING LOCALTlY
/lam
FOR APPLICANT TO FILL IN NEAR sT.
NUMBER FIXTURE OR ITEM EACH FEE CROS
OWNER
WATER CLOSET $1.25
IL
BATHTUB 1.25 " RDA R P�
SHOWER 1.25 CITY S+e @ TEL. NO.
LAVATORY 1.25 Q ,CONTRACTOR
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
XL
t STATE LIC
LAUNDRY TUB 1.25 ( /L r7 'LICENSE NO. CLASS
CLOTHES WASHER 1.25 DISTRICT NO. GRO Z E PO S BY
WATER HEATER 1.50
GAS SYSTEM�_O.UTLETS 1'� WASTE APPROVAL
CD
OUTLETS OVER 5 PER SYSTEM .30.1 INSPECTION RECORD r,
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APPROVALS DATE INSPECTOR'S SI GfAiU RE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING Q !
TOTAL FEE 77 GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A LICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I 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 1 AM THE LEGAL O ER OF AND INTEND TO
RESIDE IN.THE ABOVE DESCRIBED RESIDE I ROPERTY. UTILITY Cb.NOTIFIED I
1
SIGNATURE
OF PERMITTE
FINAL. sit
ALIDATION JACK At ALLEN
cK.
M.0. CASH SUPERVISING MECHANICAL ENGIR.
9728%" J1'L21 5 0 17.50, i