HomeMy Public PortalAbout9735 BROADWAY_Plumbing__ '
's'-17 10,55 APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Department of'County Engineer I
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING- it
... ... .... .. ... . _ _ ,. ' LOCALITY
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST.
OWNERp�plfLq /� / DISTRICT NO. GROUP �E� READY FOR INS P ECT I.N
AILA ODREBB (U �O A"L I p 04 I � lj
CITY TEL. NO. AT L""� �O INDUSTRIAL
pp WASTE APPROVAL
PLUMBER (7((,. &' ��nn INSPECTION RECORD
ADDRESS mI CO A.�qF.�p LTJ Abo,NQa-AL_V 'NIP
CITY �i.ILi TEL. NO. CO,V O`�I�-7 pr-
I LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM �� ��FF}EE
K/ WATER CLOSET (TOILET) @ $1.00 gyp+ < �[ J kn,k j k ^ nn
BATH TUB @ $1.00 rA,
SHOWER @ $1.00
.Z. LAVATORY (WASH BASIN) @ 51.00 ` f
/ KITCHEN SINK @ $1.00 ' � fl•'� �&
DISHWASHER @ $1.00 1 1 A
LAUNDRYTUB ORTRAY @ $1.00
/ CLOTHES WASHER @ $1.00 QD -
WATER HEATER @ $1.00 .QV; -
GAS SYSTEM @ $1.00
APPROVALS
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I(SP1ECTTIOR•S SIGNATURE
UNDER E WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING"<�.
TOTAL FEE I GAS VENT r `J
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
' PLUMBING.
1 HEREBY CERTIFY THAT 1 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,/PROPERTY.
SIGNATURE 4441 9
OF PERMITTEE tel' FINAL
JOHN A. LAMBIE. COUNTY ENGINEER � ALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
CA. N.i. GSH
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