HomeMy Public PortalAbout9214 ROSEGLEN ST_Plumbing__ Dan-17 to-se APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
D.pmrh[1031 of Co—tr Engh-w
C-mly Qd Los Angel- BUILDING
JOHN A. LAMBIE: COUNTY ENo1NEER ADDRESS O
CRS TT 0.GRIFFIN,SUPT OF BUIL-DING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CRQas
fADDRIX"
DISTRICT NO. GROUP Z N 21ADT FOR 111IFICTION
INDUSTRIAL
C NO ASTE APPROVAL
PLUMBER a ey umbi.ng CO. II18PECTION RECORD
ADDF� 442 W. Fleetwood Pi.
ora Ed 5-129
C1T1` TEL NO.
LICENSE NO.
NUYxR TY"OF FDCCUM OR 1TB1
WATER CLIPSIrr (TOILET) @ 1.00
BATH TUB 81.00
SHOWER @1p 1.00
LAVATORY (WASHBASIN) Q 41.0-0
KI CHEN SINK 1.00
DIIHWASHLR $1.00
LAUNDRY TUB OR TRAY $1.00
CLOTHES WASHER 1.00
WAT[R HEATER 11.00
GAS SYGT" 01.0.0
APPROVALS
DATA IXSPECTO XATU"
U ND ERlft*B-WOR K
PERMIT = 1 oo ROUGH PLUMBING L
GAS PIPING
1
TOTAL'FEE GAB Vu1r
1 HEREBY ACKNOWLEDGE THAT 1 HAYH READ THIN APPLICATION HOT W TER HEATER
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AMD STATE LAWS REGULATING
PLUMBING.' PLUMBING FIXTUREA
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AHD/OR OAS TEST
LICEN39D,AB REQUIRED BY LOQ ANGELES COU!{TY AXP STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWN�.R OF THE ABOVE UTILITY CO.NOTIFII#D
DESCRIBED RESIDEHTI p ERTY
SIGNATURE
OF P[RH L
JOHN A, tAMBIE. COUNTY ENGINlXR VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
A.•. CASH
Wt. 1 .2T9STu13 3A 10.00 pi