HomeMy Public PortalAbout5450 HILTON AVE_Plumbing__ n Y
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DBB.,,11.58 APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND, SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS C1 r
CASSATT D. GRIFFIN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST L
CROSS ST.
OWNER DISTRICT NO. GROUP INE READY FOR INSPECTION
MAIL S -Tr 14AOpRESS
INDUSTRIAL
CITY TEL. NO. WASTEAPPROVAL
PLUMBER 1 INSPECTION RECORD
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ADORES 7i I}7�'J �til ���'� V�/I�1
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CITY �L. NO
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LICENSE NO. / / r" !G 7 ( Q
NUMBER 'TYPE OF FIXTUE OR IT&M. FEE \ AI ILI ( R�r �IA7F. A C\IQ4 af111�.
Y WATER CLOSET (TOILET) @ $1.00
BATHTUB @ $1.00 dd
SHOWER @ $1.00 �� A
LAVATORY (WASH BASIN) @ $1.00 OO
KITCHEN SINK @ .$1.00
DISHWASHER @ $1.00
LAUNDRY TU B OR TRAY @ $1.00
CLOTHES WASHER @ $1.00 OO
WATER HEATER @ $1.00 OO
GAS SYSTEM @ $1.00 Q d
APPROVALS
p DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK L y(a S(PIP[
�1'
PERMIT $ 1 00 ROUGH PLUMBING �t71 S(e
,r GAS PIPING ,
TOTAL FEES "O(/ GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 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
PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST G
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITYCO. NOTIFIED 4
DESCRIBED RESIDENTIAL PROP TY.
SIGNATURE A
OF PERMITTEE ( / FINAL 1 T J 1
JOHN A. LAMBIE, COUNTf ENGINEER VALIDATION ROBERT A. WOOD. CHIEF PLBG. INSPECTOR
CK. M.0. CASH
00 s 97N SEP25 3 1 1 .00