HomeMy Public PortalAbout9717 DAINES DR_Plumbing__ o
17
IBIAPPLICATION FOR PLUMBING PERMIT
BS IND ISION OF BUILDING AND SAFETY
Department of County Engineer
County Of Los Angeles BUILDING
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OWNER DISTRI GROUP ZONE I READY FOR INSPECTION
MAIL A
ADDRESS
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER INSP CTION RECORD
17 1
l
ADDRESS
CITY TEL �NOO/'W
LICENSE NO o de,�y`
I
NUMBER TYPE OF FIXTURE 06 IT M FEE
WATER CLOSET (TOILET) @ $100 $
BATH TUB @ $1 00,
SHOWER @ $1 00
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $1 00
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $I-00
WATER HEATER @ $100
GAS SYSTEM @ $1 00
APPROVALS
TE` IALS ECTOR'S SIGINATUPE
UNDER AlKWORK
PERMIT $ 1 00 ROUGH PLUMBING 1
GAS PIPING II►
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION rTEST
EATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGTURES
PLUMBING y�
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 1 -__LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFCALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVEOTIFIEDDESCRIBED RESIDENTIAL P RTY'SIGNATUREOF PERM ITT
JOHN A LAMBIE, COUNTY ENGINEERALIDATION ROBERT A WOOD, CHIEF PLBG INSPECTOR
M1 CR Y O CASH
1 9 2 2 FA SEP 3 3 11 D on