HomeMy Public PortalAbout5301 ZADELL AVE_Plumbing_9/15/1960_ 7CM67-CE817-r88--.%
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APPLICATION FOR PLUMBI G PEFRMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BIIZI.DING
_IOHN A. LAN31L County Engineer ADDRESS 6 �„ VIE
TT A GRIPM.Supt of BWlding LOCALITY
Jt 64-27,
FOR APPLICANT TO FILL IN NEEOA E o
NUMBER FIXTURE OR ITEM
a .!c'�s✓
WATER GLOSSY OWNSMAIL
SATS TUB ADDRESS
B SSOWER CITY ® TEL.NO.
LAVATORY CONTRACTOR
ME: ADDRESS e&ie I
DISHWASSER CITY AA-ims TEL.NO. gGr,3 7/
LAUNDRY TUB CONTRACTOR'S �s p�/9 STATE
REGISTRATION NO. EJ �/. �r COUNTY ❑
CLOTSFS WASSER DI�ST*RI /NO GROU MZNCE D.H
WATER SEATERV
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPR VALS
g
I.oO PER ITEM F
r I '� ARE PATE PECTOR'S SIGNATURE
UNDER SLAB WORK /
PERMIT S 2100 ROUGH PLUMBING Q
r
TOTAL FEE 60 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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES I f
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 RESIDENTIAL PROPERTY. o
SIGNATURE
OF PERMITTE a414,�px_ FINAL Of (�
ROBERT A.WOOD.
®pALIDATION SUPERVISGINMECHANICAL ENG'R
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R. M.0. CASH
�,Lo 6 Zr 4 3 21 SEP 15 5 u 13.0 0 r