HomeMy Public PortalAbout4867 FRATUS DR_Plumbing__ 7656 17 10...' APPLICATION 67
DBS FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILD 1 NG `
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS (�
CASSATT D GRIFFIN,SUP T OF BUILDING
LOCALITY ✓�
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OWNER DIST I10 GR01Jp I ZQ[j I READY FOR INSPECTION
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MAIL I �-� i
ADDRESS
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER Pjambuig Co. of Glen&ga INSPECTION RECORD
ADDRESS
CITY Glendora %rnia
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1 00
BATH TUB @ $100
SHOWER @ $100
LAVATORY (WASH BASIN) @ $100
KITCHEN SINK @ $1 00
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $1 00
WATER HEATER @ $1 00
GAS SYSTEM @ $1 00
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK ,(
PERMIT $ 00 ROUGH PLUMBING r T
L 7
wr
® GAS PIPING
TOTAL FEE d
GAS VENT
I 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 FIXTURES _
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIA PROPER
SIGNATURE
OF PERMITTEE Ld FINAL "b
JOHN A LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A WOOD, CHIEF PLBG *INSPECTOR
CK m O CASH
LACc 7 6 2 4 APR 2 Ca 3 1 Q,0 0