HomeMy Public PortalAbout10233 LOWER AZUSA RD_Plumbing__ 78188- A P 0 ICA Y B®11 V FOR 11 'p. LUR V tl B I tl V`>s!J -PERMIT . .
CE a,�e-BUILDING AND SAFETY DIVISION '
Department of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE,COUNTY ENGINEER ADDRESS Q iGOdJPi>?
CASSATTD.GRIFFIN,SUP'T OF BUILDING r�
�� �Q
- LOCALITY .0 c '
FOR APPLICANT TO FILL IN CROSSS T. �a I V
__>
OWNER A ) �y����• �- �' :DISTRICT O. GROUP ZONE READYMAIL
FOR INSPECTION
ADDRESS/0-2-:3y 4&v ,2
�e 4/ �.. INDUSTRIAL
CITY TEL. NO. .WASTE APPROVAL '
PLUMBER INSPECTION RECORD
ADDRESS o! ^ I ¢mss ' n _ it n
CITY -71t
TEL. NO.
LICENSE NO. - 6 (�7 am'`^''.
b �
NUMBER TYPE OF FIXTURE OR ITEM FEE
i� WATER CLOSET (TOILET). @ $1.00
/ BATH TUB @ $1.00
SHOWER @ $1.00 ", r
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00 C) e '" '" wn.
p DISHWASHER @ $1.00 '
/ LAUNDRY TUB OR TRAY @ $1.00 B "
CLOTHES WASHER @ $1.00
r WATER HEATER @ $1.00 11v a
J GAS SYSTEM @ $1.00
APPROVALS
D,ATEt INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 00 ROUGH PLUMBING
��, GAS PIPING
TOTAL FEE a, GAS VENT
I D HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER '-
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY y
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING -PLUMBING FIXTURES I�
PLUMBING. I
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 0 R OF THE ABOVE. UTILITY CO.NOTIFIED
DESCRIBED RESIDBULA PROPERTY.
SIGNATURE �� .d?�/��ti
? OF PERMITTEE FINAL
ROBERT A.WOOD,
CALIFORNIA OR THAT I AM T H E LEGAL O
JOHN A. LAMBIE,COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG'R
CK. M.0.
FES l 5 A 9.0.0