HomeMy Public PortalAbout10408 DAINES DR_Plumbing__ I
c88 APPLICATION FOR PLUMBING PERMIT 1
BUILDING AND SAFETY DMSION
Department of County Engineer
County of Los Angeles BUILDING 10406 DaiY]es Pre
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JOHN A. LAMBIE,COUNTY ENGINEER ADDRESS
CASSATT-D GRIFFIN,SUPT OF BUILDING LOCALITY Temple Cit
FOR APPLICANT TO FILL INI NEAREST
CROSS ST
OWNER Gullet DISTRICT-5
IST NO I GRQU I ZQNE� I READY FOR INSPECTION
MAIL ^T
ADDRESS
INDUSTRIAL
CITY TEL NOW�A7STE APPROVAL
PLUMBER I�9 I��'�j Q INSPECTION RECORD
ADDRESS 2019F.0.408
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t.(� TEL NO
LICENSE NO 149216
NUMBER TYPE OF FIXTURE OR ITEM FEE � /-
1 WATER CLOSET (TOILET) @ $100 -
1 BATH TUB @ $1 00 00
SHOWER @ $100 ♦F�S� `�
1 LAVATORY (WASH BASIN) @ $1 00 1 00
KITCHEN SINK @ $1 00
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $1 00 f
WATER HEATER @ $100 r1ri
GAS SYSTEM @ $100
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i�APPROVALS � .
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING � t
TOTAL FEE 8100
GAS VENT
1 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 4.
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST >.I�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THEAL JDWNER OF THE ABOVE UTILITY CO NOTIFIED 'S
DESCRIBED RESIDE L PROPER '
SIGNATURE
OF PERM ITT FINAL J
ROBERT A.WOOD,
JOHN A LAMBIE,COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG'R
M _ CK. Mr o. CASH
IACo 0 11 6°° MAR14 3 A 8.00 M
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