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HomeMy Public PortalAbout10621 FREER ST_Plumbing__ �aA a%R a4PPLICATI"ON FOR PLUMBING PERMIT 1 BUILDING AND SAFETY DIVISION Department of County Engineer County of Los Angeles BUILDING 106 1 Freer St JOHN A. L.AMBIE,COUNTY ENGINEER ADDRESS �1 CASSATT D,GRIFFINI,SUPy:T OF BUILDING LOCALITY -p a Cit FOR APPLICANT TO FILL IN I NEAREST CROSS ST. rADDRESS NER DISTRICT NO. GROUP I ZONE/I READY FOR INSPECTION IL INDUSTRIAL Y TEL. NO. WASTE APPROVAL UMBERE�arl (Pat) Standl1e,ypinC, INSPECTION RECORD ADDRESS 201 1V• Hoyt P eCt/er` 08 ^ CITY '� (b�I'�t" TEL. NO. y T 4-1559 LICENSE NO. 149236 NUMBER TYPE OF FIXTURE OR ITEM FEE 1 WATER CLOSET (TOILET) @ $1.00 $11,00 1 BATH TUB @ $1.00 1 00 4 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 n 1 GAS SYSTEM @ $1.00 1 ,00 APPROVALS If ATE INSPE TOR'S SIGNATURE UNDER SLAB WORK f PERMIT $ 00 ROUGH PLUMBING GAS PIPING e1.r Io TOTAL FEE 9 QQ• GAS VENT ' 1 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 I 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 LE,5AL NER—OF••.-,THE.ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDE 0 P SIGNATURE � N OF PERM ITT E FINAL knom ROBERT A.WOOD, JOHN A. LAMBIE.COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG'R CK. l tCo7 Ocnr2OR NOl 25 5 A 9.40 M