HomeMy Public PortalAbout6018 BURTON AVE_Plumbing__ r
79A997APPLICATION FOR PLUMBING PERMIT 1
095-17 ID-55
DIVISION OF BUILDING AND SAFETY
Department of County Engineer (/
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN, SUPT OF BUILOING
[LOCALITY
FOR APPLICANT TO FILL IN NEAREST
^ � CROSS ST.
OWNERMAIL GIA'4e "/I/A//JN _ .. _.
L//` / DISTR= NO. GROUP ZONE NSAnY Fon iNSP9CTION
ADDRESS V {/ 6; ,Y
pp(� Q�,� INDUSTRIAL
CITY `�^' ' X�WwW TEL. N/O. WASTEAPPROVAL
PLUMBER /� ^'GJ INSPECTION RECORD
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CITY `Nr'✓✓'- TEL. NO.
LICENSE NO.
tA( cl6)
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
_ CLOTHES WASHER @ $1.00
WATER HEATER @ SI-00 A
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ JCCMPLY
00 - ROUGH PLUMBING
0 GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THISIONAND STATE THAT THE ABOVE IS CORRECT AND AGREPLY HOT WATER HEATERWITH ALL COUNTY ORDINANCES AND STATE LAWSING PLUMBING FIXTURES
PLUMBING.IHEREBY CERTIFY THAT 1 AM PROPERLY REGIST /OR GAS TESTLICENSED AS REQUIRED BY LOS ANGELES COUNTY AOFCALIFORNIA OR THAT AM THE LEGAL OW R OOVE - UTILITY CO.NOTIFIED
DESCRIBED RESIDENT[ PROPERTY.
SIGNATURE �J
OF PERM ITTEE FINAL
JOHN A. LAM61 . COUNTY ENGINEER „VALIDATI OBERT A. WOOD, CHIEF PLBG. INSPECTOR
CK. tl.1. CASH
LACa0 uup 5 3 .0 0 In