HomeMy Public PortalAbout9662 LONGDEN AVE_Plumbing__ ISA-67
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,0S•17 APPLICATION FOR -PLUMBING PERMIT
DIVISION OF BUILDING AND SAFETY
DepalrI ent*of County Engineer
County of Loa Angeles BUILDING
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D..GRIFFIN,SUPT OF BUILDING - J `
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER DISTRICT NO. GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS de J7
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
PLUMBER P INSPECTION RECORD
ADDRESS JA 7 9 /.
CITY TEL.NO.
�y
LICENSE NO.
NUMBER TYPE OF FIXTURE OR frEm FEE
WATER CLOSET CTOILET) @ $1.00
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY CWASH BASIN) '@ $1.00
KITCHEN SINK @ $1.00 / ('
DISHWASHER @ $1.00 /�� Td •� ,/
LAUNDRY TUB OR.TRAY @ $1.00
CLOTHES WASHER @ $1.00 r -/
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
d 7S
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1. 00. ROUGH PLUMBING--n,/
GAS PIPING
TOTAL FEE Al . GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBINGpLUMBiNG FIXTURES
.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST -L7S
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OW ER OF THE ABOVE 'UTILITY CO.NOTIFIED
DESCRIBED RES IDENTIA ROPERTY.
SIGNATURE
OF PERMITTEE FINAL
r �
IOHN A.LAMB.IE.COUNTY ENGINEER—.----/ VALIDATION ROBERT A.WOOD. CHIEF PLBG. INSPECTOR
CK. M.0. SN
L.AC0 2.4 .3 51-n SIP 19 3 6.00 2