HomeMy Public PortalAbout4955 ROBINHOOD AVE_Plumbing__ CE 7BABBT ' APPLICATION FOR PLUMBING PERMIT 1
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,- BUILDING AND SAFETY DMSION
Department of County Engineer
County of Los Angeles BUILDING
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JOHN A.L.AMBIE.COUNTY ENGINEER RE
CASSATT 91:GRIFFIN.SUPT OF BUILDING
LOCALITY �G
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST.
OWNERRo -DISTRICT O. I GFJ UMBp I NE I READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL.NO. {o WASTE APPROVAL
WailPLUMBER aqp Plumbing Co. �/ SPE
ADDRCTION RECORD
ES ° Fleetwood ° V
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CITY _ TEL.NO.
Mas
LICENSE NO.
NUMBER TYPEOF FIXTURE OR ITEM FEE 'lam
WATER CLOSET (TOILET) @' $1.00
BATH TUB @ $1.00
SHOWER @ $1.00 BQ
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $i.00 q a
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
,• APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK i
PERMIT $ 1 ,00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS'VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER 151
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING .PLUMBING FIXTURES l ?
PLUMBING. // rr
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS-TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ,
CALIFORNIA OR THAT I A THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL OPERT
SIGNATURE
OR PERM ITT FMAL .h � �_..t✓t• t
ROBERTA.WOOD.
JOHN A.L AMBIE.COUNTY ENGINEER IDATION SUPERVISING MECHANICAL.ENG'R
CS. M.O. CASH
36 5 1 OCT 2 3 3 1 1 .Q 0