HomeMy Public PortalAbout5017 WILLMONTE AVE_Plumbing__ "MU--amI7 8-59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, Count;meas ADDRESSf ff�
CASSATT D. GRIFFIN, Supt of Building LOCALITY s
..
FOR APPLICANT TO FILL IN CROSS S.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
! RATE Tos ADDRESS f.0 � p
SHOWER CITY P NO. 1A,G.•
LAVATORY CONTRACTOR �r
i
SING ADDRESS
1 DISHWASHER CITY NO.
CONTRACTOR'S STATS ❑
LAUNDRY T� REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP ZO E CESSE13BY
WATER HEATER
GAS SYSTEM INDUSTRIAL + `
WASTE APPROVAL
INSPECTION RECORD
4
S r
a (S T*7 t_c. _�ff pulJS�tQ t� a
PER ITEM
OR OFDCTORE $
� APPROVALS DATE IN OR'SSI6NATURE.
PERMIT $ 2 00 UNDER SLAB WORK Q
TOTAL FEE �� ROUGH PLUMBING '��i LV —
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION S' L
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
PWITH ALL LUMBING COUNTY ORDINANCES AND STATE LAWS REGULATING r g,
HOT WATER HEATER S'I1—�a i
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST S`I�. o
CALIFORNIA OR THAT I THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIA ERTY. UTILITY CO.NOTIFIED ,Tle
SIGNATURE
OF PERMITTE FINAL U Itr
BP ALWAMN ROBERT A.WOOD,
cs,
M.0, CAM SUPERVISING MECHANICAL.ENG'R
L&5 5 3 4% JM 22 5 A 13.00 NO