HomeMy Public PortalAbout6210 ROSEMEAD BLVD_Plumbing__ FOA-67,O.SS
3B6.17 APPLICATION FOR PLUMBING PERMIT 1
7
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING.
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN.SUPT OF BUILDING ��-+
LOCALITY ..� e_
FOR APPLICANT TO FILL IN NEAREST
�i CROSS ST.
OWNER ��br DISTRICT NO. GROUP Z E READY FOR INSPN
MAILI <
ADDRESS ♦ I 01�
INDUSTRIAL
CITY�oU ✓I TEL.NCIL WASTE APPROVAL
PLUMBE&-C o ;- " ) INSPECTION RECORD
ADDRESS
6 • y
CITY /�i TEL.NO. -p J3 Is J d��Q���R�.S � GP' t�a6i, �A
LICENSE NO. Il og e) C c�A� L
r
NUMBER TYPE OF FIXTURE OR ITEM FE6 ✓
WATER CLOSET (TOILET) @ $1.0.0 ♦� - R
BATH TUB @ '$1.00
SHOWER Q $1.00 —
LAVATORY (WASH BASIN) @ $1.00 a +'
KITCHEN SINK @ $1.00 �' i" Q WRJP.2 IAAA(Af-FrriC*
DISHWASHER @ $1.00 1) W.A:nE� f
LAUNDRY TUB OR TRAY @ .$1.00 8krf�Im,lq� Pita 45
CLOTHES WASHER @ $1.00 y 19e-s P ,p r j)P'D tl n
WATER HEATER @ $1.00 ( '
GAS SYSTEM @ $1,00 ® ' �"
�_ �`fiy�Rl► Lgn :;aL. tNp-A�Ji'f f)'%V SMB
APPROVALS L � +�, Iva
DATE INSPECTOR'S SIGNATYV �C}
UNDER SLAB WORK 4-1 -
PERMIT $ 1 00 ROUGH PLUMBING P- -517 I/1 `
GAS PIPING
TOTAL FEE
GAS VENT �
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING pLUMBIIVG FIXTURES
PLUMBING.
1 HEREBY CERTIFY THAT 1 .AM PROPERLY REGISTERED AND/OR GAS TEST El N "i 'SJf i
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND -STAT E OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED Q
DESCRIBED RESIDENTIAL gROPERTY.
SIGNATURE
OF PERMITTEE les. FINAL 14-al-d-7.
IOHN A.LAMBIE,COUNTY ENGINEER ALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
CK. M.C. CASH
1,G27536:; SEP 2 7 3 8.00 2