HomeMy Public PortalAbout10221 LOWER AZUSA RD_Plumbing__ 76A667-CE817-11-57
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES Job 1494 n
DEPARTMENT OF COUNTY ENGINEER ' ''3
BUILDING AND SAFETY DIVISION BUILDING I
JOHN A. LAMBIE, County. Engineer ADDRESS G
CASSATT D. GRIFFIN, Sup t of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST
NUMBER FIXTURE OR ITEM CROSS ST.
2 WATER CLOSET OWNER L a r k w o o d construction
MAIL
1 BATH TUB ADDRESS 10229 Lower A2USa Rd.
SHOWER CITY El Monte TEL. NO.
2 LAVATORY CONTRACTORRichard Cavanauch P
1 SINK ADDRESS 1-3-354 S Central
DISHWASHER CITY Chino TEL. NO.
LAUNDRY TUB CONTRACTOR'S STATE ❑
REGISTRATION NO. 1 164 C 16 COUNTY ❑
1 CLOTHES WASHER DISTRICT NO GROUP I ZONE READY FOR INSPECTION
a
1 WATER HEATER
1 GAS-SYSTEM INDUSTRIAL
WASTE APPROVAL
\ t SPECTION RECORD
L�\� I
APPROVALS
@ $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
OR FIXTURE $ 9 QC
UNDER SLAB WORK
PERMIT $ 00 ROUGH PLUMBING I � .
TOTAL FEE -JLL1 1 00GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY i' HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. I PLUMBING FIXTURES
1ICHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR �' GAS TEST
LENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITFINAL 6
TE I
ROBERTA.WOOD.
OF VALIDATION SUPERVISING MECHANICALENG'R
CK. M.0. CASH
2 s:$.oma FEB27 5 A 1 1 .00 . .