HomeMy Public PortalAbout4847 WILLMONTE AVE_Plumbing__ 76A667-CE817.8=57 -'
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS /%✓��//1�
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D.GRIFFIN, SUPT OF BUILDING LOCALITY 7e dalie
FOR APPLICANT TO .FILL IN NEAREST
CROSSCROSS ST.. V I 6i!
NUMBER FIXTURE OR ITEM ,y
OWNER �.elf/biZ�a-
WATER CLOSET
BATH TUB ADDRESS
SHOWER CITY TEL.NO'.
LAVATORY CONTRACTOR Q loiL Al
SINK ADDRESS 61 u)
DISHWASHER CITY /� D� 6k/F L TEL.NO. j
LAUNDRY TUB CONTRACTOR'S STATE
REGISTRATION NO. cg-0-7— COUNTY
CLOTHES WASHER
DISTRII 0. GROUP ZONE READY FOR INSPECTION
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
@ $1.00 PER ITEM DATE INSP - IGNAT,RE.
l v OR FIXTURE $ G O Q UNDER WORK awl rte- 10. _*'' zo�
ROUGH PLUMBING 1
PERMIT 5 1100
GAS PIPING
TOTAL FEE 11160 GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 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 /J
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED
CALIFORNIA OR THAT 1 AM THE L OWN R OF THE ABOVE i/
DESCRIBED RESIDENTIAL.PROP RT
SIGNATURE
OF PERM ITT FINAL y\
ROBERT A.WOOD,
VALIDATIOI]Y/I 1 SUPERVISING MECHANICAL ENG'R
CK. M.Ol ASH
!.X62 0 6 31 MPR 1'7 3 A 11.00 1
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