HomeMy Public PortalAbout4871 FRATUS DR_Plumbing__ 76A667 APPLICATION FOR PLUMBING PERMIT
DBS 9,7 10
OF BUILDING AND SAFETY
Department of County Engineer
County of LOS Angeles BUILDING /'
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS / !�
CASSATT D GRIFFIN,SUP T OF BUILDING
LOCALITY �
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OWNER li DISTRICT NO GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESSVaUey PlUmbing CO. of Glendora
442 W Fleetwood Phce
CITY
LICENSE NO EDgewood 5-1293 �"� -'( S -vIj 8 g B
NUMBER TYPE OF FIXTURE OR ITEM FEE 1,�� a �-"'' R , (F 1,
WATER CLOSET (TOILET) @ $1 00
BATH TUB @ $1 00
SHOWER @ $100
?/ LAVATORY (WASH BASIN) @ $1 00
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
.4
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ �� ROUGH PLUMBING
�� GAS PIPING e
TOTAL FEE 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
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF v y nwh
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CONOTIFIED ,�" I)fa ��n✓h
DESCRIBED RESIDENTIAL PROPERTYtt --
SIGNATURE
OF PERMITTEE �'�1 FINAL �• 4�'/ ,ILJ!!t L ,P„IJ�
JOHN A LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A WOOD, CHIEF PLBG INSPECTOR
'k CK M 0 CASH
E, 7626)- A P R 2 3 10.00 In