HomeMy Public PortalAbout4917 1/2 RIO HONDO AVE_Plumbing__ 76B
CE 8,717 6-56
.OAPPLICATI.ON FOR PLUMBING PERMIT
BUILDING AND SAFETY DMSION
Department of County Engineer f ..
County of.Los Angeles BUILDING 49171 N. 1310 Hondo
A.LAMBIE.COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
Van Van Dusen DISTRICT NO. GROUP /ZONE READY FOR IRCY
SPE1oN
MAIL IJ
ADDRESS
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
PLUMBER BelaveyGarvey d�erePlumbing u0. INSPECTION RECORD
ADDRESS -11 00y• Ave• ��/��r�
CITY 31 Montle TEL.NO. G1 89836 - �-
LICENSE NO. 5'4932
NUMBER TYPE OF FIXTURE OR ITEM FEE � T
1 WATER CLOSET.(TOILET) @ $1.00 E 11.0 e -oA,-k _ n a,
1 BATH TUB @ $1.00 1.0
SHOWER @ $1.00
i 1 LAVATORY (WASHBASIN) @ $1.00 1.0. "-
KITCHEN SINK @ $1.00 •0
DISHWASHER @ $1.00
1 LAUNDRY TUB OR TRAY @ $1.00 1.0
CLOTHES WASHER @ $j.00
1 WATER HEATER @ $1.00 1Q
GAS SYSTEM @ $1.00
APPROVALS
I?ATEf INSP S NATURE
UNDER SLAB WORK
PERMIT $ 1 00 } ROUGH PLUMBING
GAS PIPING I
TOTAL FEE •O GAS VENT v
I .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. PLUMBING FIXTURES
• —
I 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 LEGA WHER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENT14,PROPERTY. �y
SIGNATURE
OF PERMITTEE � � -p FINAL _
ROBERT A.WOOD.
JOHN A.LAMBIE.COUNTY ENGINEER /O;ZVALMATION SUPERVISING MECHANICAL ENG'R
CS/ R.O. CASH
_:A0.4 3 5 5V; NOV 1 $ 3 8.0 0 8
sni_