HomeMy Public PortalAbout6400 TRELAWNEY AVE_Plumbing__ 76A667-CES17•B,
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER7ADDRESS
_
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, CouatF Eaq' ear
CASSATT D. GRIFFIN. Supt of Building
FOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEMWATER CLOSET 7/ BATH TOB .
SHOWER CITY TEL NO.
LAVATORY CONTRACTOR
SINE ADDEESS • .
DISHWASHER CITY TEL NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY El
CLOTHES WASHER DISTR16TN0. GRW ZONE PROCESSED BY
WATER HEATER y X,-�
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
@ $1.00 PER ITEM OR FIXTURE 7 t` '' DATE INSPECTOR'S SIGNATURE
UNDER S B WORK
PERYIT S 2100 ROUGH PLUMBIN
TOTAL FEE "F" GAS PI
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEgrAL OWNER.-OF THE ABO UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY/
SIGNATURE FINAL
OF PERM ITTE
ROBERT A.WOOD.
ALMATION SUPERVISING MECHANICAL ENG'R
M.0. CAIN
3 A
I