HomeMy Public PortalAbout5016 WILLMONTE AVE_Plumbing__ 76AS67 CE817-6-58 0
ff-�Is9-11 APPLICATION FOR :PLUMBING PERMIT 1
%�� COUNTY OF LOS ANGELES +
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DI�VIS�ION BU=MG
CAST D.IM IL Supt E Building
ADDBESS
LOCALITY
FOR APPLICANT TO FILL IN CR or.
NUMBE5, FIXTURE OR ITEM
WATER crossr D s�/d 4liv'
D
BATH TUB ADDRESS
SHOWER CITY TEL NO.
–All" LAVATORY CONTRACTOR ����
g ADDRESS
DISHWASHER TEL.NO.
LILUNDBY
TUB CONTBACTOB'S STATE 13REGI8TRATION NO. COUNTY
CLOTHES WASFI88 DISTRI NO. WP I ZONE PR CESSED BY
WATER HEATER r -44
J GAS SYSTEM 1NDUSTRIAI'
WASTE APPROVAL
INSPECTION RECORD
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'O W)9 -nne
APPROVALS
�® �$ @ Rg Ogg� 8 I� DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK L'L+6•1 1-r---- -
�IPERMIT $ 2 00 ROUGH PLUMBING -'b►•lri0 P�e'7+►--�
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT Z-3 'L /'- Zw
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATERT—
WITH 'ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST '�' e`x^yam
I LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR TH�,AE LEGAL OWNER F THE ABOVE UTILITY CO.NOTIFIED <tW DESCRIBED RESIDEN "-��.
SIGNATURE �B 6s
OF PER MITTEv FINAL
ROBERT A.WOOD.
OF VALIDATION SUPERVISING MECHANICAL ENIG'R
CK. M.O. CASH I
�' 4554 11A DEC 5 A 12.00