HomeMy Public PortalAbout9571 WOODRUFF AVE_Plumbing__ ;76A687-CE817 12/59 :.TEMPLE. C����
APPLICATION FOR F?LUMBI.NG PERMIT
COUYff OF.LOS ANGELES .
•DEPARTMENT OF COUNTY-ENGINEER
BUII.DING AND�S� FETY IVISION• BUILDING r
JOHN A. LAMBI E.. OUNTYNGINEER ADDRESS /
WILLIAM A.JEN$EN.SUPT OF 0 UILDING iP
LOCALITY
FOR APPLICANT.TO FlI.I. IN` NEAREST
CROSS ST. P
NUMBER FIXTURE OR ITEM'
OWNER
WATER.CLOSET
An DDRESS oolg Ari
BATH TUR
CITYZ4119 N —,Ov for
SHOWER
LAVATORY CONTRA R
ADDRESS
sum
DISHWASHER CITY ,TEL. NO
CON R'S STATE
LAUNDRY TUB. .r: REGI$ ION.NO. COUNTY p
CLOTHES 9pgSHEg - :i' DIST ICT NO GROUP ZONE P OC D Y
WATER HEATER
GAS SYSTEM IND•IIS11iIAL
WASTE APPROVAL
INSPECTION RECORD
O
ra
STEM
ooBB FFiixxTTUUBREE /' APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEEROUGH PLUMBING
Q GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; �• s'.
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY; GAS VENT �i
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING,
PLUMBING. HOT WATER HEATER
I•.HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY:AND STATE.OF GAS TEST
CALIFORNIA OR THAT I M T LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL. OF UTILITY CO.NOTIFIED .n
SIGNATUREI/t. �///
OF PERMITTE ` F1NAL �( fcI
�r V•ALIDATIO ROBERT A.�'VOOD,
c6. M.0. CASR ,SUPERVISING MECHANICAL ENG'R ,
ft -2 MAY 5 0 3.50