HomeMy Public PortalAbout5349 BUTTONS AVE_Plumbing__ BS APPLICATION FOR �PLUMBII�IG PERMIT
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D05 li bIVISION OF BUILDING AND SAFETY
Department of County Engineer `/ Y/
County of Los Angeles BUILDING
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JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN, SUP-1 of BUILDING _
LOCALITY TV �Y//-�I �FTY
FOR APPLICANT TO FILI. IN NEAREST
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OWNER I"C"J//��/'/ +/7 // A D 11 NO. READY FOR IN
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ADDRESS %�;J DO` �� /�� C/iJ/La I >,.• "'
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INDUSTRIAL
CITY Te2n e Ci / TEL. NO. WASTE APPROVAL
PLUMBER ,GEU/`-'fJ/LC6 S,TcGU/9/G INSPECTION RECORD
ADDRESS �J� EiI `Q/ 0
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.. CITY e& �•�G�//TEE LL. NO. ZA em(D
LICENSE NO. /LJ /.�J �P O v 6
NUMBER TYPE OF FIXTURE OR ITEM FEE
17— WATER CLOSET (TOILET) @ $1.00 $�
/ BATHTUB @ $1.00 VQ
SHOWER @ $1.00' qc�• /J
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00 U
DISHWASHER @ $1.00
LAUNDRYTUB OR TRAY @ $1.00 U
CLOTHESWASHER -@ 51.00
WATER HEATER @ $1.00 / ✓J�
GAS SYSTEM @ $1.00
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APPROVALS
_ ,DATE INSPECTTOR'S-SIGNATURE
UNDER SLAB WORKFO LISA�"" d,• y
-
PERMIT $ 1 00 ROUGH PLUMBING .,G Lj yL _ I
// l`�, GASPIPING
TOTAL FEE U GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER 1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY T,�{II �,' / q
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES Z S1 d.II.
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF \
CALIFORNIA OR THAT !,,AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED 1
DESCRIBED RESIDENTI ROPERTY �/ I /
SIGNATURE / I
OF PERMITTE FINAL y
JOHN A. LAMBIE. COUNTY ENGINEER. VALIDATION ROBERT A.WOOD. CHIEF PLBG. INSPECTOR
CASH
lAC,0,1_1.7 2- OCT 3 1.1 .00
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