HomeMy Public PortalAbout5353 BUTTONS AVE_Plumbing__ TSABB;
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APPLICATION FOR PLUMBING PERMIT
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DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County Of Los Angeles BUILDING 7
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS J
CASSATT D,-GRIFFIN, SUPT OF BUILDING
.-�:. - LOCALITY ^
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
' OWNER • DISTRICT NO. GROUP Z = I aBAOx Fox ISFECT Iory
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ADDRESS ' Ole
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CITY EL. NO, v� WASTEAPPROVAL
PLUMBER INSPECTION RECORD
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C 'TEL. NO.
LICENSE NO. 1,3 S«/3 S- (C -36-2
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 @ S1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHESWASHER @ S1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK � 'AII �^T ''tt
PERMIT $ J 00 ROUGH PLUMBING '� � CI'AIaIY'LL
/ �Tx GAS PIPING F
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST I _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
„ CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENTI PROPERTY..
SIGNATURE
OF PERMITTEE FINAL ((.
:JOHN A. LAMU COUNTY ENGINEER VALIDATION ROBERT A.WOOD. CHIEF PLEG. INSPECTOR
CK. U.0. CASH
',ACO 3 8 5 9 MAR 7 3 1 1 .0 0 in