HomeMy Public PortalAbout8617 WORTHINGTON DR - Plumbing - 1960-04-07 7_SM67-CE819-8-58
APPLICATION FOR PLUMBING PERMIT
1
COUNTY OF LOS ANGELES
DEPARTMNT OF COUNTY ENGINEER
BUMDING AND SAFETY DIVISION BUILDY14G
JOHN A. LAMBIE. County Enalmex ADDRESS
CASSATT D.GRYFPM,Snp t of. uildiag. LOCALITY V�,Ly,�
FOR APPLICANT TO FILL IN CElvso�TT
NUMBER FIXTURE OR ITEM
WATER CLOSET GWNBS
MAII.
/ BATH TUB ADD88$S
SHOWER CTPY TM NO.
LAVATORY C0N=CT�oNTANA PLU TR
sYm • ADDRESS 13329
DISHWASHER CITY Ch of Ind o• ED
LAUNDRY TUB ss TION No 96496 COMa r C
CLOTHES WASHER DISTRICT NO. GROUP ZONE P CESSED BY
WATER HEATER
GAS SYSTEM DVD wmm
WASTE APPROVAL
INSPECTION RECORD
4`60 FIX 1-6-44- JW Saio W194
APPROVALS
I ® ER ITEM
OR O P S I // DATE INSPECTOR'S SIGNATURE
UNDER'SLAB WORK
PERMIT S. 2 00 ROUGH PLUMBING. ,
TOTAL FEE / GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER ¢ 1 lG0
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDAR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT M THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED 8
DESCRIBED RESIDENTI ROP -
a
SIGNATURE FINAL
OF PERMI /;-QO
TTE
'ROBERTA.WOOD.
®pVALIDATION SUPERVISING MECHANICAL ENG'R
CK.
-19.0. CASH
8 9 5 2-% hPR 7 5 A :1 3.0 0