HomeMy Public PortalAbout4813 RIO HONDO AVE_Plumbing__ DRSB7a.Bs APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING ' `O /�■.S� .
JOHN A. LAMBIE, COUNTY ENGINEER' ADDRESS VKJ
CASSATT D.GRIFFINa SUPT OF BUILDING
LOCALITY i c- ,
FOR APPLICANT TO FILL IN NEAREST �q
CROSS ST. V
OWNER DIST NO. GRO P I ZON� I READY FOR 111SPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL..NO. / WASTE APPROVAL
PLUMBER y + (9G+ }� INSPECTION RECORD
ADDRESS Ci I-
CITY (fle TEL.NO GZb a
LICENSE NO. b
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $ p
BATH TUB @ $1.00 /.
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00 Q
KITCHEN SINK @ SI.00
DISHWASHER @. $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
I WATER HEATER @ $1.00
GAS SYSTEM @ $1,00
APPROVALS
DATE INS ECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 7 00 ROUGH PLUMBING cQ
GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION H07 WATER HEATER .
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING v
PLUMBING. PLUMBING FIXTURES 10 ?Fa 47131—e-
I
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST Lt
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 OPERT I
SIGNATURE
OF PERMITTEE ' FINAL
IOHN A.L.AMBIE.C u TY ENGINEER VALIDATION ROBERT A.WOOD. CHIEF PLBG. INSPECTOR
CK. M.O. CASH q Q