HomeMy Public PortalAbout6313 SALTER AVE_Plumbing__ APPLICATION FOR PLUM13INC PERMIT '
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DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING dlff Al i
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
" CASSATT D..GRIFFIN,SUPT OF'BUILDING
LOCALITY
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST. F/• L. i .A V,,-
0 W N E R
OWNER /j, �J_JV DISTRICT NO. GROUP'I ZONE I READY FOR INSPECTION
MAIL
ADDRESS y �C„ �� <
INDUSTRIAL
CITY i , TEL. NO.. r 1� WASTE APPROVAL
PLUMBER (T//, Al' /, INSPECTIONRECORD
ADDRESS
CITY TEL.NO.-
LICENSE
O:LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE -
WATER CLOSET (TOILET) @ $1.00 $ / -
BATH TUB @ $1.00 /
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $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 INSPECTOR'S SIGNATURE
1 UNDER SLAB WORK
PERMIT $ 1 00 ROUGH,PLUMBING
GAS PIPING
TOTAL FEE 1
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT•A.ND,AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULAI`ING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OW R OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIA P�RTY.
SOF PERMITTE =�� t FINAL
OHN A.LAMBI , "OUNTY ENGINEER VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
' Cx. N.O. CASH
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