HomeMy Public PortalAbout10134 DAINES DR_Plumbing__ DBA§e; '�� �
DB9-17 Ic-0.15-0.15APPLICATION F'OR PLUMBING PERMIT
,"DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of LOS Angeles BUILDING
4 '
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D GRIFFIN,SUPT OF BUILDING -
LOCALITY
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST
OWNER /LL!'c�" DISTRICT NO. GROUP ON READY FOR INSPECTION
MAIL
ADDRESS
CITY TEL NO 'Jo� +� WASTE INDUSTRIAL
CITY
PLUMBER �jly,.,LGt.� lt' -�„�,t'cr...,.p, INSPECTION RECORD
ADDRESS / 4 - �} p
CITY L.f I/ TEN0.-e)1 O-P.1ay
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
yam+ WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
I LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $100
/ DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $100
i CLOTHES WASHER @ $1 00
WATER HEATER @ $1 00
GAS SYSTEM @ $1.00
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APPROVALS
DATE INSP CTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT ] 00
ROUGH PLUMBING I!
$- �f
�I OQ GAS PIPING -
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 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. PLUMBING FIXTURES ��
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST d d
LICENSED S AND
CALIFORNIA ORREQUIRED
OIDBLOANGELES COUNTY STATE
THATIAMTHELE AL OWNER OF THE ABOVE UTILITY CO NOTIFIED 9
DESCRIBED RESIDENTIAL ROPERTY. n
SIGNATURE
OF PERMITTEE ZY A � I1�1� FINAL A
JOHN A LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG INSPECTOR
CK m O CASH
LACO 7 0 8 5 APR_ti l 3 1 1 .0 0