HomeMy Public PortalAbout10718 GRAND AVE_Plumbing__ OBS-1710-55
DAPPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
` Department of County Engineer
It County of Los Angeles BUILDING af>
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY 46
FOR APPLICANT TO FILL IN I NEARESTOF
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CROSS ST.
OWNER =4ZDISTRICT NO. GROUP 11. O i I READY FOR INSPECTION
MAIL
ADDRESS 1-
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER, _ _ INSP�ErCTION RECORD
ADDRESS •.i ,r _ r "rM"" Gni/ GLV'opo
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r
CITY y TEL. NO. �y e
LICENSE NO.
NUMBER TYPE OF FIXT RE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $ ® f
BATHTUB @ $1.00 fad
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00 -•iC-".,P' ``gyp
LAUNDRY TUB OR TRAY @ $1.00
,6
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00 -
% )
APPROVALS
0 TE INSPE TORS SIGNATUPE
• UNDER SLAB WORK �P
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE (�J GAS VENT
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION yy
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER �' 1r'
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES —LL- -4 .
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 Y.
SIGNATURE
OF PERMITTEE FINAL
i
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION_ ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
0. CASH
&5 APR In