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HomeMy Public PortalAbout4929 MCCLINTOCK AVE_Plumbing__ S IBS-17,0.98 APPLICATION FOR PLUM BING 'PERI'�/IIT .1 -17 DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING j� L iv JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS ! � � ��1 iv-0` 4� CASSATT D,GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN I NEAREST y1 !1 CROSS ST. Rf7 !✓ OWNER ©c -I U 1-- -IS 0, O G DISTRICT NO. GROUP IZONEDY FOR INSPECTION MAIL. �j "� ADDRESS V J+ INDUSTRIAL CITY TEL.NO. WASTE APPROVAL PLUMBER - h W 1-6— , j / INSPECTION RECORD ADDRESS 410 93 lT n R/� •r i 64-4 / // n ' CITY I I (L' TEL.NCO'. ' Z 7i G 0.d LICENSE NO. C .. 3 e L S^3 NUMBEI! TYPE OF FIXTURE OR ITEM FEE /( WATER CLOSET (TOILET) @ $1.00 5 7 BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASHBASIN) @ $1.00 .C�. KITCHEN SINK @ $1.00 U DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ _$1.00 r APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ I 7 00 ROUGH PLUMBING L GAS PIPING �'Jp� TOTAL FEE �l 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. PLUMBING FIXTURES 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 OWNEk OF THE ABOVE UTILITY CO.NOTIFIED s DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE FINAL OHN A.LAMBIE,COUN ENGINEER VALIDATION ROBERT A.WOOD,CHIEF PLBG`INSPECTOR C9. m.9. cAsx M2 6 9 4A FEB 9 3 $,Q O m