HomeMy Public PortalAbout6227 OAK AVE_Plumbing__ 7817 8--BB 188
CE 8r APPLICA`T'iO.N FOR PLUM-B.ING PERMIT
•7
BUILDMG AND SAFETY DIVISION 1
Department of County Engineer `
County of Loa Angeles BUILDING
JOHN A:LAMBIE,COUNTY ENGINEER ADDRESS b?Z!r�
N• Oak
CASSATT0.GRIFFIN,'SUP'TOF BUILDING Temple G1t',a
! P -L6CALITY J
FOR APPLICANT TO FILL IN NEAREST
CROSS ST,
y OWNER - Bailey DISTRICT NO. GROUP I ZONE I'READY FOR imsPECTIbN'
MAIL
ADDRESS IWO
INDUSTRIAL.
CITY TEL..NO. WASTE APPROVAL
PLUMBER' R60VACIere PluMbingGO. INSPECTION RECORD
ADDRESS .11900 E. GarveyAve.
CITY El Mont a TEL.NO.. GI $9836
LICENSE.NO: 54932
NUMBER TYPE OF FIXTURE OR ITEM FEE
1 WATER CLOSET (TOILET) @ .$1.0.0 $ .0
1 BATH TUB @ $I.00 •0
SHOWER @ $1:00
1 LAVATORY (WASHBASIN) @ $1.00 1 .0
1 KITCHEN SINK @ $1.00 r0,'
DISHWASHER @ $1.00
1 LAUNDRY TUB OR TRAY @ $1.00' eO
CLOTHES WASHER @
WATER HEATER @ 41.00
GAS SYSTEM @ $1.00
disposal
APPROVALS
DATE IN_qqCTOR'S3;GKATURE
UNDER SLAB WORK �,{A
PERMIT $ 1 00 ROUGH.PLUMBING OI
TOTAL FEE
GAS PIPING
9' 00
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THISGAS VENT
.APPLICATION iJj� •5 �.{� 4
AND. STATE THAT THE ABOVE IS.CORRECT AND AGREE TO COMPLY c HOT WATER HEATER Tr
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 OUNTY AJID STATE OF
CALIFORNIA OR THAT M T.HE LEGA .OWNER 0. THE ABOVE.- UTILITY CO,.NOTIFIED ( 0
DESCRIBED .RESIDENTI ROPERTY.
SIGNATURE 'Witt y�y; ry } f
OF PERMITTEE e W WJYI FINAL il'S'L1 �!'; L�i::. JI.0 ^
ROBERT A.WOOD.
IOHN A.LAMBIE,COUNTY ENGINEER VALIDATION SUPERVISING MECHANICALENG'R
CS.
11.O. CASH
;. W5.25 X JM 20 3 A . -9.0-0 R
1
4
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