HomeMy Public PortalAbout5138 BARELA AVE_Plumbing__ 76AS67 ',APPLICATION FORPLUMBING PERMIT 1
DBS-17 10.89
DMSIONtOV BUILDING 'AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE: COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,.SUP•T OF BUILDING
LOCALITY <#VAO .0
FOR APPLICANT TO FILL IN I NEAREST /. ; j .
CROSS ST. l
OWNER DISTRICT NO GROUP ONE I READY FOR INSPECTION
MAI L
ADDRESS
CITY 1. (_-i/� INDUSTRIAL
TEL.NO. WASTE APPROVAL
PL'UMBE /yY ;sINSPECTION RECORD
ADDRESS /J+—,,, ''
CI /i0 ���•I4 _..T '.NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE GR ITEM FEE
WATER CLOSET (TOILET) @ $I.0.0 $
BATH TUB @ $1:00.
SHOWER @ $1:00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK@ $1.00
DISHWASHER @ .$100
LAUNDRY TUB OR TRAY @ $;1.0.0
CLOTHES WASHER @'$1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
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APPROVALS
DATE INS2CTOV SIGNATURE
UNDER WORK 'J Sro
ROUGH PLUMBING
PERMIT 7 .00
GAS PIPING
TOTAL FEE WOW
10 GAS VENT
I 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 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.,NOTIFIED
DESCRIBED RESIDENTIAL PR .ERTY. k /;
SIGNATURE t^'
OF PERMITTEE FINAL' / _. �. �/R•Ge r_�
PI-4
JOHN'A. •LAMBIE, COUNTY ENGINEER ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
GYAMATION
M.,O. CASH
C0 4 '0 9 4 u !�tAR 14. 3 2.0 0 In