HomeMy Public PortalAbout5414 ROBINHOOD AVE_Plumbing__ IBH.1710.59 APPLICATION FOR PLUMBING PERM-IT
DIVISION OF BUILDING AND SAFETY ��
Department of County Engineer
County Of LOS Ange1B6 rB
UILDING
JOHN A.LAMBIE. COUNTY ENGINEER DDRESS gdAVil 1;404CASSATT D,.GRIFFIN.SUPT OF BUILDING
OCALITY ez
FOR APPLICANT TO FILL IN NEAREST
CROSS ST..
OWNER ve, DISTRICT N0. I GROUP ZONE IR EADY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL.NO: WASTE APPROVAL
PLUMBER Valley Plumbing Ca. INSPECTION RECORD
ADDRESS 442 ep, Fleetwood
CITY Glendora r/ TEL.NO. Ed 5-129
LICENSE NO. 160847 •
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BAS114) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPE OR'S SIGNATURE
UNDER SLAB WORK N
PERMIT $ 00 ROUGH PLUMBING
/dTOTAL FEE I GAS.PIPING
GAS-VENT _
I HEREBY ACKNOWLEDGE THAT'I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT"AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES 5
1 HEREBY CERTIFY THAT I AM PROPERLY ,REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTI PERTY
SIGNATURE
OF PERMITTE INAL /
OHN A.LAMBIE.COUNTY ENGINEER VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
CB. N.0. CASH
-, L iCo 7 o 7 2 F NOV 2 8 5 A 1 2.0 0 19