HomeMy Public PortalAbout9444 BROADWAY_Plumbing__ 76A667
B17
CE 61T BAPPLICATION FOR PLUMBING PERMIT 1
-BUILDING AND SAFETY DMSION
Department of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE,COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN.SUPT OF BUILDING I�
LOCALITY
FOjYAPPLICANT TO FILL,IN I NEAREST
CROSS ST.
OWNER /� / ,,.(/ / -1 DIDI_S]TRI�CT NO. GROUP RZONE REAR*10R INSPFCTWN
MAIL
ADDRESS 6�dAlv ' ,7-1^' �I' .L I • '-�I vV
CITY
I //]]�� q
TEL. NO INDUSTRIAL
A, 4:i1h / 7 WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS ,44W )
CITY TEL. NO.
�11r �(e� 0a ���✓/x�Jr. y.�4��G
LICENSE NO. ✓ I/I!1
NUMBER TYPE OF FIXTURE OR ITEM FEE iJ y-C,/Y
y
WATER CLOSET (TOILET) @ $1.00 /GL
BATH TUB @ $1.00 �{ k/ 'LC (. J / /•
-� SHOWER @ $1.00 !
LAVATORY (WASH BASIN) @ $1.00 e a
KITCHEN SINK @ S1.00
DISHWASHER @ $1.00 6"
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
hPPIEO ALS 1� � /V Q
DAT- INSPECTOR'S S}GNATURE
UNDER S 13 WORK Y171n,
✓..d�'�
PERMIT $ I 00 ROUGH PLUMBING
Z ,
�j GAS PIPING
TOTAL FEE /,/ OD GAS VENT / 1p1 1
I D HEREBY,ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING f PLUMBING IXTURES / Y /Y✓i e` .F+ � 1\
PLUMBING. f 11
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED pN0/OR ' GAS TEST �f K n� �l . ib ti % e v it
LICENSED AS REO UIREO B LOS ANGELES COUNTY AND EE E OF v y
CALIFORNIA OR THAT I THE LEGAL OWNS OP THE ABOVE UTILITY CO.NOTIFIED AV, , t\1 V
DESCRIBED RESIDENTIAL OPERTY. I ` -
SIGNATURE
OF PERMITTEE FINAL
ROBERT A.WOOD,
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG'R
CK. N.O. CASH
irr00692—Ln JUL 26 3 1 3L