HomeMy Public PortalAbout4904 ROSEMEAD BLVD_Plumbing__ D",17 10-00 APPLICATION FOR PLUMBING PERMIT 1
DrfMON OF BUH.DING 410 SAFETY
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JOHN A. LAMB1E. gouNTY ENOINEQt ADDRESS
CASSATT D,ORIPVIIJ,6UI-^r'Orr BUILDING - n E
LOCALITY I L. '
FOR APPLICANT TO FILL. IN NU-"KBT �N
ROBS SP.
OWNXR I DISTR GROUP Z NR ■LADY FOR 1�/P[CTION
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INDUSTRIAL
CITY T WASTE APPROVAL
PLUMBER 2?S$EGTION RECORD
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CITY T)1L. NO:
LICKNOR NO.
NUM150tTYPE OF FUCTURi 011 ITOI FLI
WATER CLOSET (TOILET} @ IF1.00 If
BATH TUC is V1.00 ��
SHOWER •1.00
LAVATORY (WASH BASIN) a 01-00
KITCHEN BINK $1.00
DISHWASHER 9 $1.00
LAUNDRY TUB OR TRAY $1.00
CLOTHES WASHER Q IF 1.00
WATER HEATER 41.00
GAS SYSTEM V1.00
APPROVALS
DATE IIIGPiCTOR't SIGNATURE
UNDER SLAB WORK
PERHIT s 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAD VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE RRAD THIS. APPLICATION HOT WNT)rR HEATER
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
1 HEREBT CERTIFY THAT IAM PROPERLY REGISTERED AND/OR GAD T
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF E BOVE UTILITY CO.NbTIFIM
DESCRIBED RES T P P TY.
SIGNATURE
OF PERMITT FINAL. -
JOHN A. LAMBIE. COUNTY ENGINHAR V A OBERT A.WOOD. CHIEF PLDG. INSPECTOR
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