HomeMy Public PortalAbout9734 VAL ST_Plumbing__ 7eA7-CE817 660 I �'AZ C� _ �(
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING /7
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN. SUPT of BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS ST. oLPEAJ Es i
NUMBER FIXTURE OR ITEM
OWNER A�
WATER CLOSET SIL
I BATH TUB ADDRESS
SHOWER CITY TEL NO.
` LAVATORY CONTRACTOR
/ SDIE ADDRESS
DISHWASHER CITY' TEL NO. ptOCJ(o J,
CONTRACTOR'S / A STATE
LAUNDRY TUB REGISTRATION NO. �� D COUNTY
I CLOTHES WASHER DISTRICT NO. GROUP I ZONE P CESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
0
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U
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5
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0.
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V ORF PDCTU ER ITEM
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT § Z 00 UNDER SLAB WORK
TOTALFEE J ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LICENSED AS REOU I RED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL R OF THE ABOVE
DESCRIBED RESI DENTI PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTE FINAL
0, //VALIDATION ROBERT A. WOOD.
1. A,0. SAB 'SUPERVISING MECHANICAL ENWR
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