HomeMy Public PortalAbout5353 WELLAND AVE_Plumbing__ 76A667-C
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APPLICATION FOR PLUMBING ,RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUII.DIIVG�AND,SAFETY .DMSION BUILDING d
I/ JOHN A. MBI COUNTY ENGINEER ADDRESS
/T— ILLIAM A.JENSEN,SUPT OF BUILDING /
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
RATS TUR ADDRESS
SHOWER CITY TEL NO.
LAVATORY CONTRACTOR Alert Plumbing. & Heatin
S>Ns ADDRESS 13933 Soo Crenshaw
DISHWASHER cra Hawthorne TM NO. OS 9 3691
LAUNDRY TUR REGIS�TRAAT'ION'NO. . 193617 C 36 COUNTY ❑
CLOTHES WASHER DISTRICTNO. GROUP ZON$ P CESS BY
WATER HEATER Oo
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECO
n,1,
r �
G .$ XTURE
O1RPI �_
$ APPROVALS Dolts I/w INSPECROR=SSI.gIrl °URE
PERMIT $ 2100 UNDER SLAB WORK I'���I I � �%�✓ �
�� ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I. HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS. CORRECT AND AGREE TO COMPLY ,/
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER IX/p f��✓ i ircyP
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �'G,Z '�
LICENSED AS REQUIRED BY LOSANGELES ANGELES COUNTY AND STATE OF GAS TEST /ES./IPf?hl - , ! e�•,,D
CALIFORNIA
ALL
DESCRIBED NIIABOR THAT I pg THE.LEGAL OWNER OF THE ABOVE F
UTILITY CO.NOTIFIED 9d it Jn' c�---m
SIGNATURE _ dr a V at
OF PERMI7TE FINAL
®a ALIDATION ROBERT A,WOOD,
M.C. CASH SUPERVISING MECHANICAL ENG'R
M`15 8 5 9 7 5 D 9.00
76A667-CE6x7"12/59 TEMPLE PLE CITY
APPLICATION FOR PLUMBING PERMIT �.
COUNTY OF LOS ANGELES
DEPARTMENT�OF,�SCOUNTY ENGINEER
BUILDING
MBI COUNTY CNT1fN�G NEOERT BUILDING
IN
ADDRESS �� LIU -
WILLIAM A.JENSEN.SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS:ST. F
NUMBER FIXTURE OR ITEM /
OWNER p T
WATER CLOSET
BATH TUB MAIL.. //II II
ADDRESS 14
x- *(1 j- .
ssoWER CITY El k&jU4-eTEL..NO.
LAVATORY CONTRACTOR ff.
SINS ADDRESS
:DISHWASHER CITY TEL NO.
CONTRACTOR'S STATE. ❑
LAUNDRY TUB REGISTRATION N COUNTY ❑
CLOTHES WASHER DISTRICTNO. I GROUP ZONE P ESSEDBY
WATER HEATER Jl
INDUSTRIAL
Af WASTE APPROVAL
INSPECTION RWORD
uo
M
P4
P4
w
- z
W OS F PER
ITEX
n
II APPROVALS DATE INSPECTOR'S.Sl NAY.URE
PERMIT $ 2100 UNDER SLAB WORK / R
TOTAL FEE ROUGH PLUMBING
GAS PIPINGIEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP
ANDH
HSTATE THAT HE ABOVE IS CORRECT AND AGREE TOLICATION COMPLY GAS VENT 1 { pA
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER fr d
1 HEREBY CERTIFY THAT d Am PROPERLY REGISTERED AND/OR PLUMBING FIXTURES t
LICENSED AS REQUIRED BY LOS ANGELES COUNT"AND STARE OF GAS TEST
CALIFORNIA OR THAT I AN THE LEGAL WALE OF THE' ABOVE
DESCRIBED 'RESIDENTIAL ERI7f� UTILITY CO.NOTIFIED.
SIGNATURE
OF PERMITTE FINAL
OF VALIDATI ROBERT A.WOOD,
CK, M.0. SUPERVISING MECHANICAL ENG'R
7709 -IES 1 5 D 3.00 F)