HomeMy Public PortalAbout6351 SULTANA AVE_Plumbing__ 71LU67-CM17 6-60
APPLICATION 4FRPffM=PE,RMIT
FC �G
DEPA TS O11110S ANGELES
BUILDING AND SAFETY DIVISION BUILDING 3 /V.
WILLIAM
JOHN A.L.AMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN.SUPT OF BUILDING
LO
FOR APPLICANT TO FILL IN NEAREST.
NUMBER FIXTURE OR ITEM CROSS �J
OWNER
WATER CLOSET MAIL NaBATH TIB ADDRESS N
SHOWER CITY. `�� //` TEL.NO.- Y 7
J LAVATORY CONTRACTORtal�
SIIdB ADDRESS
DISHWASHER CITY TEL NO.
ONTRACTOR'S STATE p
LAUNDRY TIB REGISTRATION NO. COUNTY
CLOTHES WASHER ;;DISTRICT GROUP /ZOONE PRO ED BY `
WATER ElEATEB U -
GAS SYSTM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
O `
V
W
OR FD[TURE $ o� ~,
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK H
TOTAL FEE ROUGH PLUMBING -ril
AS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP 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 I 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 7�7
I OF THE OVE
DESCRIBED RESIDENTIA�TY. : I UTILITY CO.NOTIFIED _
SIGNATURE
OF PERMITTE FINAL
�r VALIDATION ROBERT A.WOOD,
UK P.O. CABS SUPERVISING MECHANICAL ENG'R
U-jCo 4 5 5 8 1 HA 2)^y 5 D 7.G 0 11