HomeMy Public PortalAbout5943 ENCINITA AVE_Plumbing__ APPLICATION FOR PLUMBING PERMIT 1
09a.iT(DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer - -
County of Los Angeles BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 15
CASSATT D.GRIFFIN, SUPT OF BUILDING
LOCALITY
a FOR APPLICANTTO FILL IN NRoss sr.
OWNER DISTRICT NO. GROUP ZONE I READY FOR INSPECTION
MAIL �� t I Rte/
ADDRESS
CITY NO INDUSTRIALWASTE APPROVAL
INSPECTION RECORD
ADDRESS
CITY TEL. NO,� G
LICENS al. BZ
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TO]LET) @ S1.00 $ ��
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ S1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY 51.00
CLOTHES WASHER @ S1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT 5 1 00 ROUGH PLUMBING
d0 GAS PIPING
TOTAL FEE GAs VENT
1 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 io
LATING pLU MBING FIXTURES
PLUMBING.
1 HEREBY CERTIFY THAT i AM PROPEND/OR GAS TEST
LICENSED AS REOUIRED BY OS ANGELETE OF 'CALIFORNIA OR THAT 1 THE AABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL OPE Y.
SIGNATURE OF PERMITTEE � FINAL 2?_' 44 ll/-XN
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION ROBERTA.WOOD, CHIEF PLBG. INSPECTOR
CA. Y.°. CASH
�Co7452 U, M127 3 2.00 in
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