HomeMy Public PortalAbout9012 CALLITA ST_Plumbing__ OA.6T APPLICATION FOR PLUMBING .,PERMIT
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DIVISION OF BUILDING AND SAFETY "
Department of County Engineer , _ -
County of Los Angeles BUILD NG
SVM.J. FOX, COUNTY ENGINEER _ADDRESS
CASSATT D. GRIFFIN. SUPT OF BUILDING
LOCALITY'
FOR APPLICA T TO FILL IN NEAREST
CROSS ST.
I _
OWNER
DISTRI T NO. I GROUP I $ BEROY FOR INSPECTION
MAIL 'T CIW"]
ADDRESS 1�
INDUSTRIAL IY
CITY TEL. NO. WASTE APPROVAL
PLUMBER - INSPECTION RECORD
ADDRESS
CITY TRt
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET)
BATH TUB '
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK '
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
- M
a
TOTAL NO. ni_ o.eo APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM-OUTLETS fN 1.00 -
WATER HEATER 1.00 1 UNDER SLAB WORK
RMIT S 1 00
PEROUGH PLUMBING
' GAS PIPING
TOTAL'FEE DU GASVENT
I- HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES'AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT ( AM PROPERLY REGISTERED AND/OR GAS TEST
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 RESIDENTIAL PROPERTY. '
SIGNATURE
OF PERMITTEE 07-7,,7 16U
A-rAC .VY
FINAL
U
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION R. A. WOOD, CHIEF PLBG. INSPECTOR"
8 4 0 1 SEP27 3 2.00
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