HomeMy Public PortalAbout4835 GLICKMAN AVE_Plumbing__ B
DBS-17 10.5,* APPLICATION FOR PLUMBING PERMIT
1
-I� 'IVISION 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 NEAREST
CROSS ST.
OWNER Gly DISTRIC GP �ZYNEI READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL. N . WASTE APPROVAL
PLUMBER INSPECTION RECORD p,
ADDRESS
C /
CITY ,T^EL. NC- 1
LICENSE NO. 1 C-' W X!}^
NUMBER TYPE OF FIXTURE OR ITENi FEE
WATER CLOSET (TOILET) @ $1,00
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASHBASIN) @ $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 INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 100 ROUGH PLUMBING
GAS PIPING
TOTAL FEE��G� 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 FIXTURES
PLUMBING.
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 LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY,
SIGNATURE
OF PERMITTEE INAL
JOHN A. LAMBIE, COUNTY ENGINEER jALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
B.O. CASH
I.. 74