HomeMy Public PortalAbout5826 MUSCATEL AVE_Plumbing__ IBS-17 .TOSS APPLICATION FOR PLUMBING PETIT 1
B8.17
DIVISION OF BUILDING AND SAFETY
Deposinent of County Engineer
County of Los Angeles BUILDING
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN.SUPT OF BUILDING 4
LOCALITY
FOR APPLIOM TO FILL IN NEAREST
CROSS ST.
OWNER ♦ DISTRICT NO. I G r I ZONE I READY FOR INSPECTION
MAIL
ADDRE S _
INDUSTRIAL
CITY TEL. V R
OVAL
PLUMBER INSPECTION RECORD
ADDRES
,
CITY TEL.L.NO.
LICENSE NO.
NUMBER TYPE OF'FixfruNE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ 61.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ 61.00
G SYSTEM @ $1.00
00 OaS
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ I 1 00 ROUGH PLUMBING
OV GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP (CATION HOT WATER HEATER O�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES•AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES 31p dy
I HEREBY CERTIFY THAT 1 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
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATUREOF PERMITTEE FINAL
OHN A.LAMBIE.COUNT ENGINEER VALIDATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
CK. X.0. CASH
r .An 4 4 2 9—Ln NOV 3 4.00 0