HomeMy Public PortalAbout6347 SALTER AVE_Plumbing__ 781887
CE 617 BAPPLICATION FOR PLUMBING PERMIT ;1
_BUILDING AND SAFETY DIMION '
Department of County Engineer r
County of Los Angeles BUILDING ` C e
JOHN A.LAMBIE,COUNTY ENGINEER ADDRESS J
CASSATTD.GRIFFIN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST.
OWNER / X) Q 'DISTRICT NO. GRO . I ZONE I READY FOR INSPECTION
MAIL
ADDRESS TC J
CITY TEL.NO.
� INDUSTRIAL
/ WA TEAPPROVAL
PLUMBER INSPECTION RECORD
ADDRESS
CITY .^ TEL..NO.
LICENSE NO. Jy�
NUMBER TYPE OF FIXTURE od ITEM FEE y!= -' /j ,F�'/// ��J 7•��'
WATER CLOSET (TOILET) @ $1.00 $. " �'n n.;[y
1 BATHTUB @ $1.00 Z � �����Y�
SHOWER @ $1.00 �' nr/)
LAVATORY (WASH BASIN) @ $1.00 +. �-
KITCHEN SINK @ $1.00 �► .
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00 J. i y �• �xr n�'��j 601111
CLOTHES WASHER @ $1.00 /
WATER HEATER @ $1.00--4 -
GAS
1.00 -GAS SYSTEM @ $1.00
/./7-r - wo
00F ArY14.611AI
APPROVALS
'
DATE
INSPECTOR'S SIGNATURE
UNDER SldB WORK �/'/a �'J 'i r• '+;j�.� �
PERMIT $ 1 00 ROUGH.PLUMBING- '� •r�i.SE .lA&!A!•'
I GAS PIPING
TOTAL FEE 11010 GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOTVI(ATER HEATER _2
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
_
I HEREBY 'CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ORGAS TET, � •y7/ ! '? f`:Y(vel ,.�:
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF �y
CALIFORNIA OR THAT I AM THE LEGAL OWN OF THE ABOVE UTILITY CO.NOTIFIED X' 7 (r.U�
DESCRIBED RESIDENTIA 0 ERTY. r p
SIGNATURE F PERMITTEE FINAL.
ROBERT A.WOOD,
JOHN A.LAMBIE,COUNTY ENGINEER ALTATION SUPERVISING•MECHANICALENG'R
CASH
H. R.0.H. O
4262 Kov13' - 3 1200
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