HomeMy Public PortalAbout4855 ROBINHOOD AVE_Plumbing__ 76.47 APPLICATI®•I�I FOR PLUMBING PERMIT 1
CE 817 8-BUIL WG AND SAFETY DIVISION .J• '
Department of County Engineer
County of Los Angeles BUILDING 4855 Rob.inhood
JOHN A.LAMBIE.COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFft SUPT OF BUILDING LOt;ALITY Temple City
TOR APPLICANT TO FILL IN ' -NEAREST
T�
-� CROSS ST.
OWNER H eJ H. J. tinders on DISTRIOTNO.j GROgr ZONE READY FOR INSPECTION
MAIL I �•
ADDRESS _
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
PLUMBER Belved•�ere Plumbing Go. �-- INSPECTION RECORD
ADDRESS 11900 E. Garvey Ave. ,. 1
CITY El MOnte TEL.NO. Gl 89836
r LICENSE NO. 54,932
NUMBER TYPE OF FIXTURE OR ITEM FEE v
WATER CLOSET (TOILET) @ $1.00 $ 2.0
HATH TUB @ $.1.00 1.0 •l.ti �e�+L 4Fu�► !�` '
1 SHOWER @ $1.00 .0
2 LAVATORY (WASHBASIN) @ $1.00 2.0;
1 KITCHEN SINK @ $1.00 • L�
DISHWASHER @ SI.00
LAUNDRY TUB OR TRAY @ $1.00 1 .0
CLOTHES WASHER @ $1.00 Grp
WATER HEATER @ 61.00 3 .0 •i•
GAS SYSTEM @ $1.00 " Z4eL
i/
APPROVALS -
,,- DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT S •1 00 ROUGH PLUMBING 1 9
GAS PIPING /
TOTAL FEE 1200 GAS VENT V
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY XiOT W,&TER HEATER u /.y
WITH ALL COUNTY ORDINANCES AND SPATE LAWS REGULATING pLUMHING FIXTURES �_l�� Ij{� �Jc
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST r +
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF '�`�
CALIFORNIA OR THAT 1 AN THE LEGA OWNE OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTI ROPERTY. �. r
SIGNATURE // !
OF PERMITTEE FINAL
ROBERT A.WOOD.
1OHN A.LAMBIE.COUNTY ENGINEER ALTATION SUPERVISING MFCHANICALENG'R
C6. M.0. _ CASN
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8...3 3 APR 14 3 A 1 2.0 0 M