HomeMy Public PortalAbout4874 FRATUS DR_Plumbing__ 76A66,
DBS-1710-55 APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Ir Department of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY d
FOR APPLICANT TO FILL IN ' NEAREST
CROSS ST.
OWNER ,p' DISTRICT NO. GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS 1 ey r:3 u 1_39 CO, of Glendora
eecwood -.ace
CITY Glendora,'ICE�.Iiff�£hi
EDgewood 5-1293
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00_$
I BATH TUB @ $1.00
SHOWER @ $1.00
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 I
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ �� ROUGH PLUMBING
GAS PIPING
TOTAL FEE
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
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 RESIDENTIAL PROPERTY,
SIGNATURE
OF PERMITTEE fir' - FINAL
JOHN A. LAMBIE, COUNTY ENGINEER - VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
CK. IA.O. CASH