HomeMy Public PortalAbout6417 OAK AVE_Plumbing__ Z 473
)89APPLICATIOIll. FOR PLUMOING. PERMIT
IBS.17 f0•SS�•I7
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Loa Angeles rADDRESS
LDING 6417 Oak Ave
JOHN A.LAMBIE, COUNTY ENGINEER CASSATT D..GRIFFIN.SUPT of BUILDING ALITY Temple C i•
FOR APPLICANT TO FILL IN NEAREST juva o mon
CROSS ST.
OWNMAILERDISTRICT NO. - GR 11NE, I READY FOR INSPECTION
ADDRESS w
INDUSTRIAL
CITY �7�� TEL.NO. WASTE APPROVAL
PLUMBER n.Nn L PAT STANDLEY INC o INSPECTION RECORD
ADDRESS 2019 N m Hoyt P G O D 40$
CITY TEL.NO.
LICENSE NO. 149216
NUMBER TYPE OF FIXTURE OR ITEM FEE
1 WATER CLOSET (TOILET) @ $1.00 $
BATH TUBe
@. $1:00
SHOWER @ $1.00
1 LAVATORY (WASH BASIN) @ $1.00
1 KITCHEN SINK @ $1.00
y DISHWASHER @ $1.00
.L LAUNDRY TUBORTRAY @ $1.00
1 CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00 L �rJ
GAS SYSTEM @ $1.00 `
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ I 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 9 100
GAS VENT I
1 HEREBY ACKNOWLEDGE THAT 1 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 FIXTURES
PLUMBING.
i HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST r y l L
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGALdOWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDEN PROP RT v.
SIGNATURE ray-1
�b
OF PERM ITTE FINAL > . �p !� 7�rr(,�f�•
IOHN A.LAMBIE,COUNTY ENGINEER ATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
' C _
M.0. CASH -
IAC,7 5.9 61n- APR26 3 9.00