HomeMy Public PortalAbout4907 WILLMONTE AVE_Plumbing__ ISM67-CE817-8-58
APPLICATION FOR- PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION SUMI)I iG �" '
oM A. LAMM County ADDRESS 1 p IRS L.I-I' /
C TT D.GRUTM..Supt of Sodding LOCAL
o
FOR APPLICANT TO FILL IN NEAREST
OST.
'NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET _- �1 MAIL
BATH TUB v !r' .� ��,, ADDRESS , r
Y
�t..�. y• t,1 C117 � — ep TEL.NO.
saowEs "� `- CONTBACTOs alley Plumbing Co.
LAVATORY `` _ "• t.
' ADnBESs 442 W. Fleetwood Pl.
CITY TEL.No.
Ed 5-12
CONTRACTOWS 10004rf' STATE ❑
LAUNDRY TUB a ; REGISTRATION NO. COUNTY
CLOTBES WASHES "" ''=J`. .W
DISTRIgyC�T-ANo. GR .Zf�ONE PROCESSED BY
,i•1 Cir' T" ��
WATER HEATER77
GAS SYSTEM ,�nAa"' � INDUSTEM
1 WASTE APPROVAL
nmEcTiON RECORD
Of
100,
APPROVALS
O s8 P. to I DA INS? OR'S SIGNATURE
UNDER SLAB WORK 11
PERMIT $ 2100 ROUGH PLUMBING
TOTAL FEE CJrJ GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT v
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER L del
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES '
I •HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIA PROPERTY.
SIGNATURE / FINAL
OF PERMITTE
OF ATION SUPERVISING 013FERT A. ECHANICAL ENG'R
CK. H.o. CASH
LACo.368894 OCT 7 5A -12.00 N