HomeMy Public PortalAbout5074 SERENO DR_Plumbing__ ORO 17"so APPLICATION FOR PLUMBING PERMIT '
DriMON OF BUMMING AND SAFETY
Depart-sat of County Engineer
CGnnty of LAngel"
JOHN A LCOUNTY ENGINEER
AOORDEHH
CASSATT D GRIFFIN,SUP T Or BuILDINO /,O a p n^
LOCALITY " ✓/I 1+
FOR APPLICANT TO FILL IN NEAREST
p O C CROSS ST
OWNER 4 n F L' DISTRICT NO GROUP Z E/ RUDT FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL NO WASTEAPPROVAL
PLUMBER �• .REg t c� '` INSPECTION RF.C.ORD
ADDRESS I CCS. Fc I. Y
CY /�L TEL NO 7-
LICENSE NO C '- 3 G '�1 b 3 /
NUMB" TTI[OP PIXTUR[OR R[M P[[
WATER CLOSET (TOILET) 0 $1 00 06
I BATH TUB @ If 1 DO I
+ SHOWER @ $100
LAVATORY (WASH BASIN) $100 I
KITCHEN SINK $100 I
DISHWASHER @ $1 DO
LAUNDRY TUB OR TRAY @ $100
CLOTHES WASHER $100
I WATER HEATER @ sl 00
GAB SYSTEM @ $100
APPROVALS
DATE IN PECTOR 9 SIGNATURE
UNDER SLAB WORK //11
PERMIT $ t 00 ROUGH PLUMBING 'Y L
GAS PIPING
TOTAL FEE GAS VENT
1 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
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST 42 L4 S1
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT THE L L OW NER�OF THE ABOVE UTILITYCO NOTIFIED
DESCRIBED RESIDENT L OP
SIGNATURE
OF PERMITTEE FINAL
JOHN A LAMBIE ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
C[ M [ CASH
M690M APR 5 3 800