HomeMy Public PortalAbout4863 ROBINHOOD AVE_Plumbing__ GA067r-•• APPLICATION FOR PLUMBING PERMIT
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DMSION OF BUILDING AND SAFETY
Department of County Engineer
County of LOS Angeles BUILDING / `� n
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS O V I +4
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CASSATT D.GRIFFIN,SUP'T'OF BUILDING
LOCALITY. L
FOR APPLICANT TO FILL IN I NEAREST
cRoss sr.
OWNER O ® S DISTRICT NO. I GROUP I ZONE
I READY FOR INSPECTION
ADDRESS L. —�•�+ /^�
INDUSTRIAL
CITY i TEL.NO. WASTE APPROVAL
PLUMBER. Val TAY plumbing yd.. 3•, �'�Irf I�CNSPECTION RECORD
ADDRESS / �y
CITY O TEL.NO. 5-1293 '414
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LICENSE NO. 60847 �'� �14,11" � "
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NUMBER TYPE OF FIXTURE OR ITEM FEE s-�//�//.r• 6c
WATER CLOSET (TOILET) @ $1.00 'S';2-1400
'
BATH TUB @ .$1.00
D�J
SHOWER @ $1.00 60 ,
LAVATORY (WASH BASIN) @ $1.00 100
KITCHEN SINK. @ $1:00
DISHWASHER @ $1.00 I
LAUNDRY TUB OR TRAY @ $1.00 :p U'
CLOTHES WASHER @ $1.00 I f�
WATER HEATER @ $1.00 0
GAS SYSTEM @ $1.00 D//
APPROVALS
DATE "INSPECTOR'S SIGNATURE,
UNDER SLAB WORK �•fr `Y�/ ��✓3).�Z t. s!
PERMIT ROUGH PLUMBING
$ 1 OO
I. GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER '��i Pill/ tip.) +. 'Y•s
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTUI3E3
r
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
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 RESIDENTIA PRO RTY.
SIGNATURE
OF PERMITTE NAL
OHN A.LAMBIE.COUNTY ENGINEER ALMATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
Cs. M.G. CASH
.. C 6 5 8 O; .IAN2 4 L3 A
1 2
a.. .0 0 A