HomeMy Public PortalAbout10130 NADINE ST_Plumbing__ 08617f0 D6 APPLICATION FOR PLUMBING PERMIT 1
OBS 17
DMSION OF BUU MMG AND SAFETY
Depot- out of County Engineer
County of Los Angeles BUILDING
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JOHN A LAMBIE COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN SUP T OF BUILDING a
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
II--'' CROSS ST
OWNER �f+(J
MAIL DISTRICT X
GROUP I ` I READY FOR INSPECTION
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ADDRESS S 0
CITY d TEL NO 7-311 INDUSTRIAL I
WASTE APPROVAL
PLUMBER gda4 ,p� INSPECTION RECORD
ADDRESS1
CITY 3" TEL NO
LICENSE NO //Vs-jg
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) 0 $1 00 510
I BATH TUB @ $1 00
1 SHOWER @ $100 D
;L LAVATORY (WASH BASIN) @ $100
KITCHEN SINK Q $100
1 DISHWASHER @ $100
LAUNDRY TUB OR TRAY Q V 00
CLOTHES WASHER Q $1 00
WATER HEATER @ $100
1 GAS SYSTEM Q $100
APPROVALS
DATE INSPECTOR S SIG TORE
UNDE WORK
PERMIT $ 7 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE a aO GAS VENT
1 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE 101CI&.0
OF PERMITTEE FINAL
JOHN A LAMBIE COUNTY ENGINEER _yJWATION ROBERT A WOOD CHIEF PLBG INSPECTOR
�u� M 0 CASH
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