HomeMy Public PortalAbout10137 NADINE ST_Plumbing__ 111117 APPLICATION FOR PLUMBING PERMIT 1
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DMSION OF BUnDING AND SAFETY
Deparbnent of County Englnses
County Of Los Angola$ BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO F" IN NEAREST
CROSS ST
OWNER ^s_ DISTRICT GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS
p INDUSTRIAL
CITY TEL NO O oZ WASTE APPROVAL
PLUMBER �1 2 INSPECTION RECORD
ADDRESS G , .s
✓ 1
CITY TEL NO Gp'Ila
LICENSE NO 114,538
NUMBER TYPE OF FIXTURE OR ITEM FEE
al WATER CLOSET (TOILET) @ $100 $
1 BATH TUB Q $t 00 a
1 SHOWER @ $100
2- LAVATORY (WASH BASIN) Q $100
1 KITCHEN SINK @ $100
I DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $1 00
1 CLOTHES WASHER @ $100
WATER HEATER @ $100
GAS SYSTEM Q $1 00
APPROVALS
DATE INSP CTOR S SIGNATOR
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE aZJ GAS VENT
HEREBY ST TE THAT THE ACKNOWLEDGE H ABOVE ST I HAVE AAPPLICATIONAD THIS
CORRECT ND AGREETO
ANDCOMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST D
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AN THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL P OPERTY
SIGNATURE r !J
OF PERMITTEE � FINAL (J a'Is�vw
JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
III
9 3 9 2E En- JUN 1C3 3 1200 �