HomeMy Public PortalAbout5331 BUTTONS AVE_Plumbing__ 9BS-17 APPLI-CATION FOR PLUMBING PERMIT 1
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 BUILDINGLOCAL
FOR APPLICANT TO FILL IN NEARS r TC»er�p'
NEAREST /
9 CROSS ST. � I"
OWNER /�-�J////�"r J l//C� O�f< / DISTRICT NO. GPOUUPP ,{7,ONE REA01 POA INSPECTION
ADDRESS / OG
// INDUSTRIAL
CITY Gyri /l� C/ T TEL. NO. WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESSSJ Jtj F1 /j)/01
CITYL.
/ TELL. NO.104)t4-73t4-73 OJ
/
LICENSE NO. 6/�cJ Z Q .0 -C? 6
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $ ��
BATHTUB @ $1.00
SHOWER @ $1.00
LAVATORY'(WASH BASIN) @ $1.00 1z ✓J�1
KITCHEN SINK @ $1.00 1 Vd
DISHWASHER @ S1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ S1.00 V
WATER HEATER @ $1.00 �?
GAS SYSTEM @ $1.00 -U
APPROVALS
DATE INSPECTOR's SIGNATURE
UNDER SLAB WORK
PERMIT $ 7 .00 ROUGH PLUMBING ...`�.
GAS PIPING
TOTAL FEE !/ I U4
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST f R
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWN R F THE ATBO UTILITY CO.NOTIFIED 4
DESCRIBED RESIDENTIA PROPERTY.
SIGNATURE V ^^ --
OF PERMITTF ��m;2n i `. `�(/�L FINAL i ~
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION ROBERTA.WOOD, CHIEF PLBG. INSPECTOR
ASH
LAGo9867 4 3 1 1 .0 0 m