HomeMy Public PortalAbout5323 BUTTONS AVE_Plumbing__ 76A 6&7
Des.I . APPLICATION FOR PLUMBING PERMIT 1
;'DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING c1 .O7
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS o( 77.0-A'S )/z-
CASSATT D. GRIFFIN, SUPT OF BUILOINc C/-7x
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LOCALITY _. 7Y/ l� C/ 7
FOR APPLICANT TO FILL IN ( NEAREST
// CROSS ST. O
OWNERMAI //// OL DISTRICT 4N O`. GROUP ZONE REABx FOR lxsveciiox
• ADDRESS P.:2 /r1 YE �i/ V _L. I•l "'�-'
INDUSTRIAL
CITY Cl EL. NO. WASTE APPROVAL .
V PLUMBER�QFo�./�/9 .� LvtSINSPECTION RECORD
ADDRESS ✓)JEI-' p
CITY ,BF'/I TEL. NO:/,
LICENSE NO. /(:r/
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ 51.00 $ O 40
BATH TUB @ $1.00 /. /111
SHOWER @ S1.00 / 100
LAVATORY (WASH BASIN) @ $1.00 OO
KITCHEN SINK @ $1.00 00
DISHWASHER @ $1.00 _
LAUNDRY TUB OR TRAY @ $1.00 04
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00 d D
GAS SYSTEM @ $1.00 Od
APPROVALS
DATE INSPECTOR'S SIGNATURE
r
UNDER SLABWORK—
PERMIT ORK— �
ROUGH PLUMBING
PERMIT $
GAS PIPING
�7
TOTAL FEE / 00'0100 GAS VENT mak`
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER t
AND STATE THAT THE ABOVE IS CORRECT AND AGREEJAND/OR
WITH ALL COUNTY ORDINANCES AND STATE LAWS PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTEGAS TESTLICENSED AS REO HAT BY LOS ANGELES COUNTY ANCALIFORNIA OR THAT I PR THE LEGAL OWNER FUTILITY CO.NOTIFIED
DESCRIBED RESTDENTIA PROPEPTY.SIGNATURE OF PERMITTEE � FINAL
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A.WOOD. CHIEF PLBG. SPECTOR
crc, M,e. CASH
CO
3 1-7 3 FEB 14 3 1 1 .0 0 in �