HomeMy Public PortalAbout9352 LOWER AZUSA RD_Plumbing__ 7H.ABE7
DBS-17 10-SB APPLICATION FOR PLUMBING PERMIT _
DIVISION OF BUILDING AND SAFETY
,'Deportment of County Engineer
Ciountf of Los Angeie8 BUILDING
JOHN A.LAMBIE. Co6NTY ENGINEER ADDRESS 9352 E bower Azusa Rd
CASSATT D..GRIFFIN;SUPT GF BUILDING
FRESSLOCALITY Ros.emead
.
R APPLICANT'TO FILL IN NEAREST #
I CROSS ST. Enoini.ta
C./ � DISTRICT NO. GROUP ONE READY FOR INSPECTION
J? �- (CJ�/ 'F//�if/ �� I � I
INDUS{RIAL
TEL.NO' WASTE APPROVAL
PLUMBER ' • Statewide.-Rlumbing •Co INSPECTION RECORD
ADDRESS '- 10024 E Valley Blvd
CITY El konte TEL.-NO. F 0 0-3717
LICENSE NO.. 1462607 C®36
NUMBER TYPE`OF FIXTURE OR ITEM FEE
1 WATER CLOSET(TOILET) @ $1.00 51100
1• BATHTUB @ $1.00 1106
SHOWER @ $1.00
1 LAVATORY (WASHBASIN) @ $1.00 1100
KITCHEN SINK @ $1.00 _11_ 00
DISHWASHER @ $1.00
LAUNDRY TUB OR TjtAY @ $1.00
CLOTHES WASHER @ $1.0.0
WATER HEATER. k @ $1.00
GAS SYSTEM @•'31.00 -Ifoa
APPROVALS
JDATEI INSP TORS JIGNATURE
UNDER SLAB WORK Llljell
PERMIT $' 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 0 GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 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 pLUMBING FIXTURES 1 rS
PLUMBING.
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 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED U
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE' �/'
OF PERMITTEE f �Tr '� FINAL
IOHN A.LAMBIE,COUNTY ENGINEER VALIDATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
CX. N.C. CASH
�-Iro 8.5 2 6`° JUL 2 4 3 8.0 0