HomeMy Public PortalAbout5024 DALEVIEW AVE_Plumbing__ ^° APPLICATION FOR PLUMBING PERMIT 1
DBB.I>(DIVISION OF BUILDING AND.SAFETY
Department of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 0
CASSATT D,GRIFFIN,SUR T OF BUILDING
LOCALITY _eM^' rt C+�fY•'1
FOR APPLICANT TO FILL IN I NEAREST — d
CROSS ST.
OWNERDI$TRT
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ADDRESS /C-�j �7i{�[,/ NO. I GP ZONE nEnov FOR INSPECTIONMAIL
INDUSTRIAL
CITY - TEyL�. NO. WASTE APPROVAL
PLUMBE / �'U"I/1� INSPECTION RECORD
ADORES$ L ` fwLil
CITY htf TaTAVI'TEL.
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LICENSE NO. 7404
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ S1.00 S
BATH TUB @ $1.00
SHOWER @ S1.00
LAVATORY (WASH BASIN) @ $1.00 {
KITCHEN SINK @ $1.00
DISHWASHER @ 51.00
LAUNDRYTUB ORTRAY @ $1.00
CLOTHES WASHER @ SI.00
WATER HEATER @ $1.00
GAS SYSTEM @ S1.00
I1 /
A � 7]TOCOMPLY
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORKPERMIT - ROUGH PLUMBINGGAS PIPINGTOTAL FEE `aGAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ TAND STATE THAT THE ABOVE IS CORRECT AND AHOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LPLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFCALIFORNIA OR THAT 1 AM THE LEGAL OWNEROF THE ABOVE UTILITY CO.NOTIFIED // ,�//t�SIGNATUROF E EE DESCRIBED NTIAL PR/O'ERTYFINAL •^/��`AOSIGNATUREJ✓A/')- n��JOHN A. LAMBIE, COUNTY ENGINEER e` VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
CK.' M.•. CASH
lLA&3.2 4 E u DEC 11 3 2.0 0
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