HomeMy Public PortalAbout9564 BISBY ST_Plumbing__ D"011,ate APPLICATION FOR PLUMBING PERMIT 1
DIIf.,7
DMSION OF BUILDING AND SAFETY
Dopa ftwoma of Cmnt! Engb"w
Co=dT of Los s
JOHN A. LAMBIE, COUNTY ENGINEER AO R IMO 5 � / 13 Y T
CA,"ATT D.GRIFFIN,j9UP'T OF BUILDING
LOCALITY 1 /+ T
FAJDDFtff�"
R APPLICANT TO FILL IN NEARErr
OSS ST
�� gISTRICT NO. GROUP ZONE LADY FOR INSFICT10■
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INDUSTRIAL
6/ {�C
- TEL I .V a WASTE A PROVAL
INSPEC�TIOX RECORD
TSL. NO.
mumoLm TTP[OF FIXTUIIt-0R ITA{ FLR
WATER CLOSET (TOILET) Q •1.00
BATH TUB - I.00
SHOWER 1.00
LAVATORY (WASHBABIN) q if t.00
KITCHEN SINK (2 $1.00
DISHWA iHER 1.00
L.AUNDRYTUBOR Y. I.o-O
CLOTHES WASHER •1.00
WAT"HEATQI! qI.Oo
G"EYET" a 1.0o
A"ROVAM
DATE INSPECTOR'S SIGNATURE
UNDER✓r WORK
PERMIT = 00 ROUGH PLUM19ING
G"PIPING
TOTAL FEE 6o aAS VENT
1 HEREBY AC[NOt"DGE THAT i HAVE READ THIS APPLICATION HOT W TER Hl�ATSR
AND STATE THAT THE ABOVE IS CORRECT AND ACRE$ TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURS'.S
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TELT
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWN OF 7HE ABOVE UTILITY CO.NO'tllrlpD
DESCRIBED RESIDENTIAL PROPER Tr-
S 1 GNATU R E
OF P[RMITTEE PINAL
JQHN A. LAMBIE, COUNTY ENGIN[QR ALIDATION ROBERT A.WOOD, CHIEF PL.BG. INSP[CTOR
7 .9 1 0 MAY 7 3 2.0 0