HomeMy Public PortalAbout10516 FREER ST_Plumbing__ DBS-17 10-55 APPLICATION FOR PLUMBING PERMIT
DIVISION OF BUILDING AND SAFETY
Department of County-Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT- TO FILL IN CROSS ST.
OWNS f7N
NO. GROUP Z NE I READY FOR INSPECTION
MAIL M]VA
ADDRESS 'CITY TEL. N OOVAL'
PLUM R INSPECTION RECORD
ADDRESS
CITY TEL. Nj/�LICEN — /-o2NUMBER TYPE OF FIXTURE OR ITEM WATER CLOSET (TOILET) @- $1.00 $
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
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE af 100
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECHOT WATER HEATER
T AND AGREE TO COMPLY p
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 O ERTY,
SIGNATURE
OF PERMITTEE FINAL
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A.WOOD, CHIEF•PLBG. INSPECTOR
CK. M.0. CASH
230 �� s�l �; 2.00