HomeMy Public PortalAbout4917 ROBINHOOD AVE_Plumbing__ 7GA667Y f'
CE 617@_S6 APPLICATION POR PLUMBING PERMIT " :1
;- BMLDING AND SAFETY DIVISION
Department of County Engineer
County of Los Angeles BUILDING
JOHN A.LAMBIE,COUNTY ENGINEER ADDRESS
CASSATVD.GRIFFIN,SUPT OF BUILDING
i1F PC LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER DISTRICT NO GROUP ZONE READY FOR INSPECTION
MAIL 4_ O.
ADDRESS '
CITY d4ryk, &tq TEL.NO. . d INDUSTRIAL
Q WASTE,APPROVAL
PLUMBER P/Rh,�,(,l¢/ /��,G, ,.
INSPECTION REC®RD
ADDRESS -
CITY Q( (/u-ry TEL.NO. cf-//°Z
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ $1.00 $
BATH TUB @ $9.00
SHOWER @ $1.00
LAVATORY (WASHBASIN) @ $1.00
/ KITCHEN SINK @ $1.00
DISHWASHER @ $9.00
LAUNDRY TUB OR TRAY @ $1.00
I CLOTHES WASHER @ $I.00
WATER HEATER @ $9,00
:F.
GAS ST%M @ $1:00
APPROVALS
DATE ,,.-INSPECTOR'S SIGNATURES
UNDER SLAB WORK ���/ �^ p�/�0 w.e•�
PERMIT $ 1 00 ROUGH PLUMBING
GAS'PIPING
TOTAL FEE. GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 19 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/ORLICENSED TE OF GAS TEST
CALIFORNIA SOR THAT DIBAM. THE LEGAL OWNER OY LOS ANGELES COUNTY F THE AABOVE UTILITY CO.NOTIFIED Q v !t
DESCRIBED RESIDENTIAL PROPERTY.
$IGNATURS
OF PERMITTEE FINAL r/ I:rA
ROBERT A.WOOD.
JOHN A.LAMBIE,COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG'R
R/ E:0. CASE
5 2 9 4 m SEP 29 5 A 1 �,L 0 9
5295°° SEP 29 5 A 100