HomeMy Public PortalAbout5124 ARDEN DR_Plumbing__ Des 7 ,0"ss
8A867 ' APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING _ a
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN,SUPT OF BUILDING
LOCALITY
FZ APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER DISTRICT N:j GR U ZONE I READY FOR INSPECTION
MA
ADDRESS -2 —
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER INSPECTI N RECORD
S '
ADDRES /v r� n
CITY TEL. NO -i1001
f
LI NSE NO. A '1
NUMBER TYPE OF FIXTURE OR ITEM FEE
s.
WATER CLOSET (TOILET) @ $1.00
/ BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00 Z
KITCHEN SINK @ $1.00 y'
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.0Q
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSP UPR'S SIG TURE
UNDER SLAB WORK f
i
ROUGH PLUMBING
PERMIT $ 1 00 / .,
GAS PIPING rf
TOTAL FEE / ''•.
GAS VENT /
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST -•yy -.
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I M THE LEGA OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDE I Y
SIGNATURE
OFPERMIT – FINAL
JOHN A. LAMBIE, COUNTY GINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
CK. Y.•. CASH
► 'Co-") 2 6 7"- IMAR 24 3 A 11 .0 0 a