HomeMy Public PortalAbout5334 WELLAND AVE_Plumbing__ 76A667-CM17.8.57
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS � r
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D.GRIFFIN, SUPT OF BUILDING LOCALITY ��+�o
FOR APPLICANT TO FELL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET
BATH TUB ADDRESS 1016 G444t
SHOWER CITY [rV TEL.NO.
LAVATORY CONTRACTOR A
SINK ADDRESS r7l 1,:
DISHWASHER CITY 14V L _t_l' L TEL.NO.
LAUNDRY TUB CONTRACTOR'SSTATE
REGISTRATION NO. Id,d 9 3 s" COUNTY
CLOTHES WASHER
DISTRICJ�Die' GRaI[P ZONE READY FOR INSPECTION
WATER HEATER .L/.. %�
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
YO ON- ///0/AYE,
APPROVALS
@ $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
OR FIXTURE $ �'C7V UNDER SLAB WORK
PERMIT $ 1100
ROUGH PLUMBING
GAS PIPING
TOTAL FEE �' a GAS VENT
i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED
CALIFORNIA OR THAT AM THE LEGAL 0 NER OF THE ABOVE
DESCRIBED RESIDENTI PROPERTY.
SIGNATURE {/Ly
OF PERMITTEE FINAL
VALMATIO ROBERT A. WOOD,
SUPERVISING MECHANICAL ENG'R
CK'. M.O. CASN
L&2.2 9 6S JUN 26 5 A 2.0 0 �