HomeMy Public PortalAbout5351 WELLAND AVE_Plumbing__ 76A667-CE817 12/59 TEPRLPE CllrY
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES.
DEPARTb TT�NODF COUNTY
I�ENGINEER /-'
B OHNIA. LAMBiES COUNTY ENGIN&N ADDRESS W Et.L A jU
WILLIAM A.JENSEN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEARE TT.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSETZ�
ADDRESS �fE� L/F� G fBl
RATS TUB
SHOWER CITY TEL NO
LAVATORY CONTRACTOR A
cry
sm ADDRESS
DISHWASHER CITY TEL NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION 0. COUNTY ❑
CLOTHES WASHER DISTICT NO. ,OUP I Z NF, P ED BY
WATER HEATER 5
S INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD.
. o
F
V
z
OR°PER r=
$ .I
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE IK+ ROUGH PLUMBING / 1
GAS PIPING /I I
DGE THAT I HAVE READ THIS APPLICATION
AMDHSTATE THAT THEREBY E ABOVE 15 CORRECT AND AGREE TO COMPLY GAS VENT /
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER I
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 T �'
CALIFORNIA OR THAT 1 AM THE LEGAL OWNIRp THE ABOVE V
DESCRIBED RESIDENTIAL P TY UTILITY CO.NOTIFIED /
SIGNATURE • 7 ► /1i'
OF PERM FINAL &h'fi��(�. '/fy�/q�.
DF VALIDATIONl ROBERT A.WOOD,
CK. M.0. / cnsH /iSUPERVISING MECHANICAL ENG'R
LPICo 7 7 0 8001 FEB 1 5 D 3.0 0 M
76A667-CE817 12/59
APPLICATION FOR PLUMBING P MIT.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUIIJ NGG�ANDEStIZTY IVISION BUILDING
JOH RMI OUNTY NGINEER ADDRESS
WILLIAM A.JENSEN,SUPT OF BUILDING y Y�
LOCALITY 7
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. r
NUMBER FIXTURE-OR ITEM
OWNER
WATER CLOSET MAIL
BATS TUB ADDRESS
CITY TEL NO.
MOWER
f
LAVATORY cONTBAcTORAlert Plumbing & Heating
Snm ADDRESS 13933So, Crenshaw
DISHWASHER crrY Hawthorne TEL..NO. OS 9 3691
CONTRACTOR'S STATE M
LAUNDRY TUB REGISTRATION NO. 193617 C 36 COUNTY ❑
CLOTHES WASHER DISOT13ICT NO. GROUP ;ZoTEl PR CESS BY
INDUSTRIALWATER HEATER L
GAS SYSTEM
WASTE APPROVAL
i r INSPECTION RECORD
u
001
W
a
0 $1.00 PER•rPEM f
OR FDITURE $ I D.O. APPROVALS �D/ TEf 1NSPECeTyOR5S�Iy.rjJ(T,URiE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING , %I s • °
GAS PIPING L+4
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT r
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST f�` !q�� a
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPS UTILITY CO.NOTIFIED
SIGNATURE 1 �A
OF PERMITTE FINAL //&
�r 5VALIDATION ROBERT A!WC OD.
X.0. CASA SUPERVISING MECHANICAL ENG'R
15 -5 8:, DEC,; 7 5 D 9.00 M_