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HomeMy Public PortalAbout10235 LOWER AZUSA RD_Plumbing__ 781 CE 817 B-56 APPLICATIO-N FOR € LUMBING PERMIT . •.� BUILDING AND SAFETY DIVISION Department of County Engineer County of Los Angeles BUILDING /D 5� A JOHN A. LAMBIE,COUNTY ENGINEER ADDRESS W IJy" CASSATT D.GRIFFIN,SUPT OF BUILDING �L. T LOCALITY FOR APPLICANT TO FILL IN A NEAREST AA CROSS I ST. D �/1/ /v4 OWNER '9' 7#D1 O. GROUP ZONE READY FOR INSPECTION MAIL ')IF ADDRESS ©�� l�ckJ r�2-1:1.S.A' d CITY �� '_` oJv TEL. NO. OVAL PLUMBER CEV - / .12LGl-filC INSPECTION RECORD �1 ADDRESS / � CIT TEL. NO.t.C® � ✓ ' LICENSE NO. c NUMBER TYPE OF FIXTURE OR ITEM FEE (Z' �1 g WATER CLOSET (TOILET) @ $1.00 $ vU BATH TUB @ $1.00 SHOWER @ $1.00 • s LAVATORY (WASHBASIN) @ $1.00 KITCHEN SINK' @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 - - / CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 H Q GAS SYSTEM @ $1.00 b APPROVALS ?, ATE INSPEC OR'S SIGNATURE UNDER SLAB WORKA/! /� PERMITg 00 $ ROUGH PLUMBING 0� GAS PIPING TOTAL FEE t, "R GAS VENT � I D HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 'A HOT.WATER HEATER ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 'v WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES 7) - PLUMBING. I ' I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF s A CALIFORNIA OR THAT I. AM THE LEGAL OWNER OF, THE ABOVE UTILITY CO.NOTIFIED 4 DESCRIBED RESIDI!411AL, PROPERTY. SIGNATURE i OF PERMITTEE � FINAL 77 7.7o ROBERT A.WOOD, JOHN A. LAMBIE, COUNTY ENGINEER VALIDATIOPSUPER VISINGMECHANICAL ENG'R CK. M.0. CASH 16 5 A 9000