HomeMy Public PortalAbout10640 LIVE OAK AVE_Plumbing__ 761 B- B"161PLACATION FOR PLUMBING PERMIT 1
CE e,�e-BUILDING AND SAFETY DIVISION -
Department of County Engineer WePT -r
County of Los Angeles BUILDING Q ` /t
JOHN A. L.AMBIE,COUNTY ENGINEER ADDRESS V a
CASSATT D GRIFFIN,SUPT OF BUILDING
` LOCALITY �r
FOR APPLICANT TO FILL IN NEAREST
/ CROSS ST.
OWNER I� DISTRICT NO. GROUP I ZONE I READY FOR INSPECTION
MAIL
ADDRESS
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INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER ) INSPECTION RECORD
ADDRESS4-1 L
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CITY TEL. NO. ? _
LICENSE NO. C—)` (ji ,�j S 0(Q ' J
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $ G
BATH TUB @ $1.00
SHOWER @ $1.00
' LAVATORY (WASH BASIN) @ $100
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
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APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT 1 00 ROUGH PLUMBING {_
GAS PIPING
TOTAL FEE '
r, GAS VENT p /
I HEREBY ACKNOWLEDGE THAT I HAVE READ HIS APPLICATION HOT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
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 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIA OPERTY
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SIGNATUREPA I
OF PERMITTEE FINAL �� -
ROBERT A.WOOD.
JOHN A LAMBIE, C U TY ENGINEER .! ALIDATION SUPERVISING MECHANICALENG'R
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