HomeMy Public PortalAbout5708AGNES AVE_Plumbing (4) DES617 7 10 55 APPLICATION FOR PLUMBING PERMIT 1
DBS
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING d
JOHN A LAMBIE COUNTY ENGINEER ADDRESSlft
CASSATT D GRIFFIN SUP T OF BUILDING
,T69'_A
LOCALITY
FOR APPLICANT TO F L IN NEAREST
CROSS ST
OWN MA'L
DIST R/IICTT NO GRO/rUP ONE READY FOR INSPECTION
ADDRES O 4 _ __ +'
INDUSTRIAL
CITY TEL s WASTE APPROVAL
PLUMBER I INSPECTION RECORD
ADDRES
3
CIT TEL NOcc Z;Q ,1/�� '1-0
LICE ENO -7 "� ^� 1'
NUMBER TYPE OF FIXTURE OR ITEM FEE ,
WATER CLOSET (TOILET) @ $1 00
i
BATH TUB @ $1 00
SHOWER @ $1 00
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $1 00
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ S100
WATER HEATER @ $1 00
GAS SYSTEM @ $1 00
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE pr 0,0
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 FIXTURES
PLUMBING
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 TH EGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL ROP Y
SIGNATURE
OF PERMITTEE 24Z
FINAL
JOHN A LAMBIE COUNTY ENGINEER VALIDATIO ROBERT A WOOD CHIEF PLBG INSPECTOR
CK N O CASH
9 9 1 2 5 3 2.O O