HomeMy Public PortalAbout5160 SERENO DR_Plumbing__ D%•1110!! APPLICATION FOR PLUMBING PERMIT 1
DIVMON OF B=ING AND SAFETY
DNptatmwt of County Eughwer
COnnty of LM An"i" BUILDING G 0
JOHN A LAMBIE. COUNTY ENGINEER ADD. @r. /�p� /� .41
CASSATT 0 GRIFFIN,SUP T OF BUILDING LOCALITY A/ `1�
B APPLIUM T IN NEAREST
CR BE BY
OWNER //�A ,F DISTRICT NO GROUP p`20NH •¢A roll INSPECTION
ADDRESS f,y /}Y Z In
CI TEL NO /O INDUSTRIAL WASTE APPROVAL
PLUMBER O Gp INS?ECTION RECORD
ADDRESS /^� f
CITY �f TEL NO '1
LICENSE NO
NUMNER TYPE OF FIXTURE OR ITEM FEE Z /E1 p t f
WATER CLOSET (TOILET) •100 $ t" 6
BATH TUB floo ^
SHOWER •1 00 Z
LAVATORY (WASH BASIN) $I OO
KITCHEN SINK1 00
DISHWASHER $1 00
LAUNDRY TUB OR TRAY $100
CLOTHESWASHER Q $100
WATER HEATER $100
OAS SYSTEM vloo
APPROVALS
DATE INSPECTOR B SIGNATURE
I
NDER SLAB WORK
PERMIT ]REGISMED
ROUGH PLUMBING
AS PIPING
TOTAL FEElifGAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE R
AND STATE THAT THE ABOVE IS CORRECT HOT WATER HEATER
WITH ALL COUNTY ORDINANCE! AND STpLUMBINO FI%TURES 1
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLASTEST
CALIFORNIALICEN ED $ORE THAT D I BY THS LO! ANGELES UTILITYCO NOTIFIED
DESCRIBED RESIDENT[ P
SIGNATURE
OF PERM ITTEH FINAL I
JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD. CHIEF PLeG INSPECTOR
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