HomeMy Public PortalAbout9225 FLAHERTY ST_Plumbing__ l'
7APPLICATION FOR PLUMBING PERMIT 1
DES 17 DIVISION OF BUILDING AND SAFETY
Department of County Engmeer
County of Los Angeles BUILD 1 NG C � Q �/�ap•
JOHN A LAMBIE COUNTY ENGINEER ADDRESS a7 , PC /
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST
OWNER / �/�/ _ DISTRICT NO GROUP ZONE READY FOR INSPECTION
MAIL T V�CpocL I RI
ADDRESS
INDUSTRIAL
CITY TEL /NO WASTE APPROVAL
PLUMBER INSPECTION INSPECTION RECORD
ADDRESS �b
CITY TEL NO
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1 00 $ /
BATH TUB @ $100
SHOWER @ $100 n vvvr �W 4 C
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $1 00
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $1 00
WATER HEATER @ $100
GAS SYSTEM T @ $1 00
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE
00 GAS PIPING-
GAS VENT
1 HEREBY ACKNOWLEDGE THAT I 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 PLUMBING FIXTURES
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I M THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL OPERTY
SIGNATURE `
OF PERMITTEE FINAL
Amm
JOHN A LAM BI COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
CK M O CASH
IC05339,A, APR23 3 200 in