HomeMy Public PortalAbout4919 RIO HONDO AVE_Plumbing__ DBAAPPLICATION FOR PLUMBING PERMIT
DBS-17 10.55.I7
DIVISION OF BUILDING AND. SAFETY
Depo=nent of County Engineer
County Of Los Angeles BUILDING
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS 919 N. Rio Hondo Ave.
CASSATTD.GRIFFIN.SUP'TOFBUILDING LOCALITY Temple City
FOR APPLICANT TO-FILL IN I NEAREST
- CR08S ST.
OWNER W. L. van Dusen DISTRICT NO. GROUP O E READY FOR INSPECTION
MAIL I I I
ADDRESS
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
PLUMBER Belvedere Plumbing Co. INSPECTION RECORD
ADDRESS 11900 L". Garvey Ave.d d � ti n I
CITY El Monte TEL.NO. FO 89836
LICENSE NO. 54932
NUMBER TYPE OF FIXTURE OR ITEM FEE
2/• WATER CLOSET (TOILET) @ $1.00 $ 2 .00 C:%/% _ t
1 BATH TUB @ $1.00
1 .00
l SHOWER @ $t.00 1100
1 LAVATORY (WASH BASIN) @ $1.00 1 .00 T
1 KITCHEN SINK @ $1.00 1 .00 G� .C s4
DISHWASHER' @ $1;00 u ►1, JJ '+...�.
1 ` LAUNDRY TUB OR TRAY @ $1.00 1 .00
CLOTHES.WASHER @ $1.00
1 WATER HEATER @ $1.00 1600
1 GAS SYSTEM @ ,$1.00 it 00
APPROV&S
DATE/ INSP CTOR'S SIGNATURE
UNDER SLAB WORK /A /y
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 10 .00
GAS VENT
I HEREBY ACKNOWLEDGE THAT I 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 STAT OF
CALIFORNIA OR THAT I AM THE LEGAL OWNE OF THE VE UTILITY CO.NOTIFIED
DESCRIBED RESIDENT IA PROPERTY.
SIGNATURE
OF PERMITTEE FINAL
IOHN A.LAMBIE.COUNTY ENGINEER ALIDATION
CK. ROBpqEn�R/T A.WOOD,CHIEF PLBG. INSPECTOR
`.N .� AI']IllL i tin
a �0 C2 5 3 10..00
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