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HomeMy Public PortalAbout5912-5916 GOLDEN WEST AVE_Plumbing__ 76A667 APPLICATION FOR PLUMBING PERMIT 1 CE an 8-BUILDING AND SAFETY DIVISION Department of County Engineer County of Los Angeles BUILDING /ao Nj,e JOHN A. LAMBIE,COUNTY ENGINEER ADDRESS Or V CASSATT,D.GRIFFIN.SUPT OF BUILDING LOCALITY e4 ✓/T FOR APPLICANT TO FILL IN NEAREST f ,{ CROSS ST. N�S ��N S OWNER �ST�/V Q�- DISTRICT NO. GROUP ZONE READY FOR INSPECTION MAIL ADDRESS 7 O r / �✓/� I /y I P /J / INDUSTRIAL CITY r ` TEL. NO Wl"� 161/ WASTE APPROVAL ' PLUMBER cj��fJ� ry 9, 6WI3 �/�i j���. INSPECTION RECORD ADDRESS CITY L &I / C TEL. N 1 LICENSE NO. /!�yg�5 � y- (f NUMBER TYPE OF FIXTURE OR ITEM FEE �3 n A04!� f) 1,4e _ WATER CLOSET (TOILET) @ $1 00 $ EGa h/ /f T /dL Ro BATH TUB @ $1.00 SHOWER @ $100 LAVATORY (WASH BASIN) @ $1.00 ©G /// r KITCHEN SINK @ $1 00 O thr)T tv 7 �`� �` O1.qJ'�-- erz-yw - q DISHWASHER @ $100 A f o T ,rf�I.�� ...-� LAUNDRY TUB OR TRAY @ $1 00 ©"'��4 7 r se CLOTHES WASHER @ $1.00 Ik L7 /OY11 7 /V Ok;rd )nf, WATER HEATER @ $1.00 _ 5`'u•t 7 �1 r-,* GAS SYSTEM @ $100 -rd 1.7 (l ��'' ko r-,*LrS <e) /w APPROVALS DATE /q INSPECTORS//SIGNATURE UNDER SLAB WORK Q� S1965/� "1r7 Y PERMIT $ 7 00 ROUGH PLUMBINGJkA',n /Ot67JAA &bj/ GAS PIPING ^�~' 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING TURES PLUMBING FIXTURES X o I HEREBY CERTIFY THAT I AM P PERLY REGISTERED D 0 GAS TEST `A6TL4 13 S 1-2,1 t� LICENSED AS REQUIRED BY LOS A LES.COUN Y CALIFORNIA OR TH I A - H L E ILITY CO NOTIFIED DESCRIBED OR L 1 S ' SIGNATURE OF PERM ITT FINAL ROBERTA.WOOD. JOHN A. LAMBIE. COUNTY ENGI ERVALIDATION SUPERVISING MECHANICAL ENG'R C M 0. CASH L CO-2 7 2 .5 w SEP 2 6' 3 5 2.00 F