HomeMy Public PortalAbout5330 BUTTONS AVE_Plumbing__ 76A6 67
Oes-17 APPLICATION FOR PLUMBING PERMIT 1
'DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer _
County of Los Angeles BUILDING //
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS CJ��
CASSATT D,GRIFFIN, SUPT OF BUILDING �/''].✓� /J
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
r CROSS ST.
OWNER L 77"In �^- /Gd' .p {. DISTRICT NS/ GROUP .ZZONEE( READY FOR INSPECTION
MAI LADDRESS c7 0 0 I /Y� O/j Al ^� I Ir�'�•I
0/� INDUSTRIAL
CITY �f Y/e l./ T TEL. NO. WASTE APPROVAL
PLUMBER p.GGdN��ai �tl, j�u/i9�G INSPECTION RECORD
ADDRESS �/
CITY �O Intt�Q�.L TEL. NO. �� /- 3Cfd
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ SI.00 $ V
BATHTUB @ S1.00 . 00°
SHOWER @ $1.00e�('YT UQ .
LAVATORY (WASHBASIN) @ $1.00 OA 'd
KITCHEN SINK @ S1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ S1.00 U
CLOTHES WASHER @ st.00
WATER HEATER '@ $1.00 U
- GAS SYSTEM @ $1.00 Qa
APPROVALS
DATE INSP CTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT S 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE
GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS. TO APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REE GULATING PLUMBING FIXTURES p 1 p S-I
PLUMBING. �( n
S
II CERTIFY THAT i AM PROPERLY REGISTERED AND/OR GAS TEST L Y 1
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1M THE LE AL OWNER OF E ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENT) ROP"TY. /
SIGNATURE
OF PERMITTE FINAL
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
Io4 3 �L ,IAN 2? 3 1 1 .0 0 In