HomeMy Public PortalAbout10818 GRAND AVE_Plumbing__ 7am." APPLICATION FOR PLUMBING PERMIT 1
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DIVISION OF BUILDING AND SAFErY
D.porta.atdI Z: F-gl m
g. t Of �+ Aags1K D U I LD I NG
JOHN A. LAMBIE. COUNTY ENGINEER ADDRE" arand
CASSATT D.GRIFFIN SUI-T of BUILDLHO
LOCALITY El MO t8
FOR APPLICANT TO FILL IN
7,, Y+�n CA DD 8T
OWN
KAIL llama�.� DISTRICT NO. GROUP ZONE NXADf rota ,�NP[CT,ON
FLAIL
ADDRESS
INbus-mIAL
CITY TE!;m WASTE APPROVAL
PLUMBILR ' INSP=ON RECORD
ADDRESD 77 59 E. Gariv ey Blvd.
So. 5an abr a crryriL No.At .Or3 91 w
LICENSE NO.
HUMa[N I TYF[OF FD[TuxK OR ITOI F X
WATERCLOB (TOILET) a •1.00
. 1?,nN,61r RAM
BATHTUB 1.00 L
IZHOWiR @ $I.00
LAVATORY (WASH BASIN) fl.00
KITCHI N BINK $1.00
DI HWADHER S1.00 G�
_ LAUNDFYY TUB OR TRAY 01.00
CLOTHED WASHER sI.coo
WATER HEATER @ 91.00 ` l`
GAS IYSTEM 1.00 /
I
APPROVAL$
DATE INSPECTOR'$SIGKATURE
UNDER SLAB WORK O
PERMIT 1 00 ROUGH PLUMBING �.
GAB PIPING
TOTAL FEE I I 100oAe V�rrr _ G
I EEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUFITY ORDINANCES AND STATE LAWS REGULATING /
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS T Arr
LICENSED AS REQUIRED BY LOS ANGELES COUKTY AND STATQ OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF Tlill ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENT FRQP 1
SIGNATURE
OF PILRMI FINAL '
JOHN A. LAMBIE, COUNTY ENGIN[ R �VAL.IDATION ROBERT A.WOOD, CHIKF PLDQ. INspKC'iOR
IL•. CAIS
tACO2 9 8 7 n DEC 4 3 11 1 .00 10