HomeMy Public PortalAbout9221 LONGDEN AVE_Plumbing__ �eA557 APPLICATION FOR PLUMBING PERMIT
788.I7 10.55
DMSION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
JOHN A. L.AMBIE, COUNTY ENGINEER ADDRESS OW
CASSATT D..GRIFFIN,SUPT OF BUILDING
LOCALITY
OR APPLI TO FILL IN NEAREST
��JJ CROSSST.
OWNER ifiS� DISTRICT NO. GROUP E READY POR INSPECTION
MAIL C ,y_-B, ZVJQ
ADDRESS
I-CITYJv ` TEL.NO!Cq(~� `� 114DUSTRTAL
WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS
CITY TEL.NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE i
WATER CLOSET (TOILET) @ $1.00
BATH TUB @ $1.00 f,�-IK a Nom& Sg� rye/ ��yr q3,
SHOWER @ $1.00'
LAVATORY (WASH BASIN) Q $100 /I/A ,,,,r^ /��. / �
KITCHEN SINK @ $1.00 ,V U Veil /�'y r n e e
r
DISHWASHER @ $1.00 r �7 I
' LAUN YTUBORTRAY Q $1.00 3'"7 :7 ! SAC ,94j04-,OMT
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
I
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ I 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS'VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO ,COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I 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 RESIDENTIA ROPERTY.
SIGNATURE f
OF PERMITTEE FINAL 3�I�•S� '/"`rif�1.IA..I- j Y.
OHN A.L.AMBIE,COUNTY ENGINEER VALIDATIO ROBERT A.WOOD, CHIEF PLEIG. INSPECTOR
CK. N.0. CASH
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