HomeMy Public PortalAbout10135 NADINE ST_Plumbing__ 17 fO SB
DOS ' APPLICATION FOR PLUMBING PERMIT
DBS 17 1
�DMSION OF $URDUM AND SAFIa"PY 1
Deportment of County Engineer
County Los Angeles BUILDING fG� 3.S' ILOLkwJ/
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN c ARES T /4
OWNER MAIL DISTRICT NO GROUP Z NE READY FOR INSPECTION
ADDRESS � � I
CITY TEL NO T 7 ,3717 INDUSTRIAL
WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS IfIl" 4: �( b
CITY ��X 16W-4 J TEL NO G b 0
LICENSE NO /IV rjA
NUMBER1 TYPE OF FIXTURE OR ITEM FEB
�i WATER CLOSET (TOILET) @ $1 00 S
BATH TUB @ $1 00
SHOWER @ $100
oti LAVATORY (WASH B/ISIN) @ $100
KITCHEN SINK @ $t 00
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $100
CLOTHES WASHER @ $100
/ WATER HEATER @ $100
r' GAS SYSTEM @ $1 00
APPROVALS
DATE INSPECT R S SIG TORE
UND ORK
PERMIT 8 I 1 00 ROUGH PLUMBING
II 00 GAS PIPING �f 7 A �t•
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES pia.
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
OF PERMITTEE FINAL
JOHN A LAMBIE COUNTY ENGINEERVALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
CK M 0 GSH
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