HomeMy Public PortalAbout5761 RIO HONDO AVE_Plumbing__ 8A67 185-17iesto.sB APPLICATION FOR .PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of LOS Angeles BUILDING a
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS IJ Sp• ,s�lL`t3^-
CASSATT D.GRIFFIN,SUPT OF BUILDING
LOCALITY ,y�,.•�r ..� _sir r
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNEI;?��ef�,i i A„✓/I /r DISTRICT GROUP I ZONE I READY FOR INSPECTION
MAIL {I%'1.�
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INDUSTRIAL
CITY- sa���-Fil�/ TEL.NO. Ld6l/ WASTE APPROVAL
PLUMBER ., INSPECTION RECORD
ADDRESS
CITY TEL.NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 5
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASHBASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSXEM @ $1.00
APPROVALS
'DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 10 0 GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 1
WITH ALL COUNTY ORDINANCES AND STATE' LAWS REGULATING PLUMBING FIXTURES r
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST -
LICENSED AS REQUIRED BY LOS ANGELES COUNTY A'ND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIA ROPERTY.
SIGNATURE
OFPERM ITT
EE ��'� = FINAL
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IGHN A.LAMBIE.COUNTY ENGINEER VALWATION, ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
OK. M.0. WHO
LAC016 4 5 n .JAN 9 3 2.0 0 �