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HomeMy Public PortalAbout4908 CLOVERLY AVE_Plumbing__ a ,epee, CE 817 8_58 APPLICATION FOR PLUMBING PERMIT 1 BUILDING AND SAFETY DMSION Department of County Engineer County of Los Angeles BUILDING JOHN A LAMBIE COUNTY ENGINEER ADDRESS 4908 Cloverly CASSATT D GRIFFIN, SUP T OF BUILDING LOCALITY Temple C It FOR APPLICANT TO FILL IN I NEAREST CROSS ST Lower Azusa Road OWNER Ida Thompson DISTRICT NO GROUP Z NE READY FOR INSPECTION MAIL ADDRESS 4912 Cloverly I _-ZI �` CITY I.0em le C1tJ TEL NO INDUSTRIAL WASTE APPROVAL PLU"4G!b'hin;, & Wgnn Plbg & Htg Co. INSPECTION RECORD ADDRESS 8630 Norwalk Blvae , L -A-- ,-,e, I CITY Los Nietos TEL NOOX2-1286 �V('_0d LICENSE NO 156272 C-36 t-- b '�- _-- - NUMBER TYPE OF FIXTURE OR ITEM FEE 1 WATER CLOSET (TOILET) @ $1 00 $ 1 .00 1 BATH TUB @ $1 00 1.00 + ( u, SHOWER @ $1 00 1 LAVATORY (WASHBASIN) @ $1 00 1.00 ` 1 KITCHEN SINK @ $1 00 l DISHWASHER @ $1 00 LAUNDRY TUB OR TRAY @ $1 00 ' CLOTHES WASHER @ $1 00 Q WATER HEATER @ $1 00 GAS SYSTEM @ $1 00 APPROVALS DATE INSP CFOR SIGNATURE UNDER SLAB WORK /,S G— PERMIT $ 1 100 ROUGH PLUMBING / GAS PIPING TOTAL FEE 8• 0 GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES IHEREBY CERTIFY THAT I 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 PROP RTY SIGNATURE OF PERMITTEE FINAL \ ROBERT A WOOD, JOHN A LAMBIE COUNTY ENGINEERLIDATION SUPERVISING MECHANICAL ENG R CR M 0 CASH , 5 4 6 1S-1 DEC31 3 800 M - 76A667 CES17 8 57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS L JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN SUP T OF BUILDING 'LOCALITY J FOR APPLICANT TO FILL IN NEAREST CROSS ST NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS L SHOWER CITY , G LAVATORY CONTRACT , //• C . J /' SINK ADDRESS T!- DISHWASHER CITY T y LAUNDRY TUB CO RAC S (� !/ STATE REGISTRA ION NO COUNTY ❑ CLOTHES WASHER DISTRICT NO GROUP Z NE READY FOR INSPECTION WATER HEATER - /�� GAS SYSTEM INDUSTRIAL �s� I WASTE APPROVAL INSPECTION RECORD r ' APPROVALS @a $1 00 PER ITEM DATE INSPECTOR S SIGNATURE OR FIXTURE $ / UNDER SLAB WORK PERMIT $ 1100 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT 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 IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST _ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL R OF T ABOVE UTILITY CO NOTIFIED DESCRIB_D RESIDENTIAL PROPERTY I J / SIGNATURE � OFPERMITT FINAL ©s ALIDATION ROBERT A w OD SUPERVISING MECHANICAL ENG R CK M 0 CASH [ACo' '7 a a O° JUN 11 3 A. 2.4 O t I