HomeMy Public PortalAbout5946 BURTON AVE_Plumbing__ DBS_17' APPLICATION FOR PLUMBING P ERMIT 1
ss-ITDIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUI LOW
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.JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN,SUPT oF,BUILOlrv6
. .. ,. .. :.... .. -._ .. ,.. .: LOCALITY
FOR APPLICANT TO FILL IN NEAREST J
p�a ( CROSS ST.
OWNER AT "¢^ (� e�'Q$: DISTRICT N GROU I ZONE I NEADY FOR INSPECTION
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ADDRESS
n+�' INDUSTRIAL
CITY (: TEL. NO. "67 /,�� WASTE,
" PLUMBER L c'iUTCr �G IAC,= eta, INSPECTION RECORD
—ECCORD
ADDRESS
\ /(�j ♦1�J C.+ i /PC �jVCh.� {tea '� J(A �,,aLk Dln / n ) lOI �U ,17A
CITY n/J[k.LJAIFFL TEL. NO. O`.'L"/✓ ' ,I /�t _ �_
LICENSE NO. �{�` -ASIA_ //_G R 1,
/
NUMBER TYPE OF FIXTURE OR ITEM FEE �_ J/�'�I ]�` YI-el C'_.IC-
WATER CLOSET.(TOILET) @ $1.00 $ ' s:�//f• -3 G n/OT 9'—r/A.P- /°y/7 �/N�L .
BATH TUB @ $1.00 GL! nom.
SHOWER @ S1.00 ' a.'_z3 s- Wq-7Egl� /7/0 /7',eA-/(//�pl//C/fgLE
LAVATORY (WASH BASIN) - @ $1.00 4-149I ANri F/XrV�PGs 1
KITCHEN SINK @ $1.00 ,A�
DISHWASHER @ $1.00 �� 0:4--r TAT
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
_L WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK I
PERMIT $ I 00 ROUGH PLUMBING '5'5-6 ,7 V.
�J r
GAS PIPING -5-561 r) J n �_
TOTAL FEE X �"' GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOTWATERHEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING. �}
I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR GAS TEST 3L` LY'J -R-l-+sAJ
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ND STATE OF
! CALIFORNIA OR THAT 1 AM THE LEGAL OWNER F THE ABOVE UTILITY CO.NOTIFIED
4 DESCRIBED RESIDENTIAL PROPERTY.
i SIGNATURE
OFPERMITTEE— FINAL
JOHN A. LAMBIE, COUNTY ENGINEER ,--VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
('fCK.. Y. B. CASH
IDC0 7 4 9 1-.—. M4 27 3