HomeMy Public PortalAbout10638 LIVE OAK AVE_Plumbing__ 78168- APPLICATION F®D Y PLUMBING B E Y 11 M I T ,
CE BI7 BUILDING AND SAFETY DIVISION
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 O
CROSS ST
[CITY
7&77- 737'WXK
WNER DISTR�NO. GROUP ZQNE READY FOR INSPECTION
AIL /�iCJ /DDRE53INDUSTRIAL
TEL. NO WASTE APPROVAL
PLUMBER , I + INSPECTION RECORD
D
' ADDRESST/•�
CITY Cl—
NUMBER
TEL. NO/.
LICENSE NO. 1� ���,•, 1 ID O lQ f!� "-1' 3�
NUMBER TYPE OF FIXTURE OR ITEM FEE
' WATER CLOSET (TOILET) @ $1.00 $ J w
' BATH TUB @ $100
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $100 svl�`
i
DISHWASHER @ $1 00AXL
'✓"8� 6t=.cSfl
LAUNDRY TUB OR TRAY @ $t 00
CLOTHES WASHER @ $1.00
i WATER HEATER @ $100 /
GAS SYSTEM @ $1.00 "?n
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 00 ROUGH PLUMBING
' GAS PIPING (� ��y '� ,�t✓1'.LiyK�.�f
TOTAL FEE GAS VENT
1 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 FIXTURES - ��1,i.,xsl.-ts'�, '1�
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF a
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIA OPERTY.
SIGNATURE
OF PERMITTEE 4FINAL B
ROBERT A.WOOD,
JOHN A LAMBIE. CO Y ENGINEER ALIDATION SUPERVISING MECHANICALENG'R
LQ 42c&2 AUG 2 7 5 A 8.0 0 M
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