HomeMy Public PortalAbout10402 DAINES DR_Plumbing__ APPLICATION FOR PLUMBING PERMIT 1
DE -rl UILDING AND SAFETY DMSION
Department of County Engineer
County of Los Angeles BUILDING
JOHN A LAMBIE,COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN,SUPT OF BUILDING LOCALITY Temple City
R APPLICANT TO FILL IN NEAREST
CROSS ST
OWNER �4/71L GL DISTRICT NO I GR
OJJP I zONE( I READY FOR INSPECTION
MAIL '�'_�
ADDRESS
INDUSTRIAL
CITY - TEL NO WASTE APPROVAL
PLUMBER Earl (Pat) standley Inco INSPECTION RECOIP
ADDRESS -1-1/ 1KY ! J/$' ''4 9V
CITY TRI Monte TEL NO
L
LICENSE NO 11+9236
NUMBER TYPE OF FIXTURE OR ITEM FEE s�� ��d'//� '•�j
WATER CLOSET (TOILET) @ $1 00 $2-
BATH TUB
BATHTUB @ $100
SHOWER @ $100
LAVATORY (WASH BASIN) @ $100
al
KITCHEN SINK @ $100
DISHWASHER @ $100 z/1'"', Per-�-fid_ �� I
LAUNDRY TUB OR TRAY @ $100
CLOTHES WASHER @ $100
i s
WATER HEATER @ $1 00
GAS SYSTEM @ $1 00
.f��.R/ •� /ILA
.-----DATE INSPECTO ,S SIGNATURE
UNDER SLAB WORK .;
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING t `
TOTAL FEE 1 .O
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 FIXTURES (-
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY R GISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY OS ANGELES CO TY AND STATE.-OF •yam - � /
CALIFORNIA OR THAT I THE EGAL 0 ER OF THE VE UTILITY CO NOTIFIED o • �/
DESCRIBED RESIDEN OPER
SIGNATURE
OF PERMITTE INAL '� ^� .-•y.I,
ROBERT A.WOOD.
JOHN A LAMBIE, COUNTY ENGINEER VALIDATION SUPERVISING MECHANICALENG'R
CK. M.0 CASH
t,. o 1 17 34—" FES 2 8 3 A 1 3.0-0
r