HomeMy Public PortalAbout4928 MCCLINTOCK AVE_Plumbing__ /BA867r�' -
,eS.,,,O. APPLICATION FOR PLUM IMG PERMIT �.
DMSION OF BUILDING AND SAFETY
Department of County.Engineer
County of Los Angeles BUILDING
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS i / A
CASSATT D.GRIFFIN,.SUPT OF BUILDING
LOCALITY `s B
FOR AMICANT TO M IN ' NCR REST,SS G'�
� .� �.,7s .�
OWNER l'� DISTRICT NO. GROUP ZONE READY Foe INSPECTION
MAILADDRESS 9 d� °=� I I
INDUSTRIAL
CITY "J® ir TEL.NO.. WASTE APPROVAL
PLUMBER eA .4 INSPECTION RECORD
ADDRESS6Y® 1 / IY 50 f!
¢ jv
r r
CITY / TEL.NO.
LICENSE NO. �~
NUMBER -TYPE OF FIXTURE OR ITEM: FEE
WATER CLOSET (TOILET) @ $1.00
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @,.$1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1..00
LAUNDRY TUB OR TRAY @ $1.00- .
CLOTHESWASHER @ $1:00
WATER HEATER @. .$1.00
GAS SYSTEM @. I.00
a0
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK /
.Y
PERMIT $ 1 00 ROUGH PLUMBING d v 7
GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT I'HAVE READ•THIS APPLICATION '. HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND 'AGREE TO COMPLY
WITH ALL. COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
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 �� !r
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE. '� FINAL.
IOHN A.LAMBIE.COUNTY ENGINEER VALIDATION. ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
CK'. M.0. CASH
IC0.5 9 3 9 MAY14 3