HomeMy Public PortalAbout5432 WELLAND AVE_Plumbing__ 76A667-CEBI7 9.59 -
APPLICATION FOR PLUMBING PERMIT,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING ,
IOEN A.LAMBIE, County Engineer ADDRESS . L
CASSATT D. GRIMM,Sup t of Building LOCALITY
FOR APPLICANT TO FILL IN C OSS s.
NUMBER FIXTURE OR ITEM
OWNER: `
WATER CLOSET MAIL -
RATH TUB ADDRESS
O.
SHOWER CITY
LAVATORY CONTRACTOR a
SINS ADDRESS '
DISHWASHER CITY TEL. �'J l
CONTRACTOR' J '• STATE
LAUNDRY TUB REGISTRATIONS NO. (� d� COUNTY ❑
CLOTHES WASHER DlT N0. GROUP ZONE P CESSED BY
WATER HEATER -1—
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
2t INSPECTION RECORD
c
J OS PER ITEM
II[TURE $ I I
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE 5 ROUGH PLUMBING
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
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND, OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL WNER OF THE ABOVE
DESCRIBED RESIDENTIA ROPERTY. 1 UTILITY CO.NOTIFIED
SIGNATURE '�
OF PERMITTE �—
FINAL i Q
®P ALIDATIOIY ROBERT A.WOOD.
can SUPERVISING MECHANICAL:EING'R
573 98 JM127 5,A 3.00 9