HomeMy Public PortalAbout9203 ROSEGLEN ST_Plumbing__ °; � APPLICATION FOR -PLUMBING PERMIT
'BriMON OF BUHDING AND $AMY
Depor.nt of Oowntr Enuft~
Commit ds Los AAg*lM ADDRE.t3SL7 R O�'�E /r
JOHN A. L.AM81;E COUNTY ENGINE"
CA6HATT D,GRIFFIN.SUr•T or$UILDINa
LI'T'Y G
FOR 0 FILL IN N MAR EBT
CROss
OWNER wyja G 4> DISTRICTNO. GROUP ZONE � RRADT FOR uirKcT101
MAtL
D R EOS Al
TEL NO INDUSTRIAL •
V1rAST APP OVAL
PLU BEnePlumbing Co. nfSP=ON RECORD
ADD a FlbeiWood.Pl,
CITY
e NO.ra Ed b-12
T - -
LICENSE NO.
NUYsfR TYFk Or rDcr mg OR ITOI FRi
)LVATIER CL.Oa[T (Tfl LET) •1.00
BATH TDB 91.00
8HOWER 41.00
LAVATORY (WAAH BASIN) @ 91.00
KITCHEN SINK Q qI__(>O
MIS HER a S-1.00
LAUNDRY ru RTAAY 1.00
CLOTH WASHER $1.00
WATER HEATER 41.00
OAS 8Y. 8-MM. 1.06
AMOYAM
DATE INSPECTOR'S SIGFIATURE
UNDER B WORK
PERIUT 1 . 00 ROUGH PLUMBING Y3
OAS PIPING
TOTAL FEE A0100GAS VIENT
I HEREBY ACRNQWLEDGE THAT INNAVE READ THIS APPLICATIO
D R
ANSTATE TH T THE ABOVE IS CORRECT ARD AGREE TO COMPLY HOT WT@t H$11 ER
WITH ALL COtNTY ORDINANCES AND STATE LAIVS REGULATINGMBiNG FLXTUfI
PLUMBING.
I HEREBY CERTIFY THAT I AY PROPERLY 7 EG13MED AND/OR GAS TEST
LICENSED AS REGUIREb BY LOS .ANGELES COUNTY AND, BTATE OF
CALIFORNIA 02 THAT I AY THE LEGAL OWNER OF T-HE ABOVE UTILITY CO.NOTIFIED
DUCRLBED RESIDENTIAL PROPERTY,
SIGNATURE
OF PARMITTKU !'INAL '
JOHN A. LAMPIEE, COUNTY tNGINESR AI.IDAfION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
IL i. c"s
216A M13 3A 10.00 A