HomeMy Public PortalAbout5175 SERENO DR_Plumbing__ � 6 LPA 7 -
DRS 1710 BB APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUMDING AND SAFETY
Deparbment of County Engineer
County of 1m Angeles BUILDING �- _ �..✓'� `t
JOHN A L.AMBIE. COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN.SUP T OF BUILDING �1 `
LOCALITY 1
FOR APPLICANT TO FILL IN NEAREST
CROSS 8T
OWNER DISTRICT NO GROUPZONE READY FOR INSFEC ION
MAIL 111111Y -z—
CITY I ; Now
INDUSTRIAL I . I ICI _ , ''j,.t
TEL NO WASTE APPROVAL 'L
PLUMBER aENEM INBTAII. TION CO. INSPECTION RECORD
ADDRESS 6368 West Blvd.
CITY LA. 43 TEL NO PLOOMM 3-2441
LICENSE NO 787 C-36 151839
NUMBER TY'K OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) floo §
BATH TUB a sl 00
SHOWER 0 $1 00
LAVATORY (WASH BASIN) Q sl 00
KITCHEN SINK @ $100
DISHWASHER @ sl 00
LAUNDRY TUB OR TRAY jt00
CLOTHES WASHER sl 00
WATER HEATER @ $l 00
OAS SYSTEM @ st 00
I WATER SOFTENER 1 00
APPROVALS
DATE INSPECTOR SSIGNATURE
UNDER SLAB WORK
PERMIT sa 00 ROUGH PLUMBING
OAS PIPING
TOTAL FEE 00
GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AY�J1E yEOA OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PItR$ERiA4
SIGNATURE C/.�F CJ��
OF PERMITTEE FINAL
r
JOHN A L.AMBIE. COUNTY ENGINEERALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
CK Y • GNH
LACp 6 4 1 8 3 MAY 14 5 A 3.0 0
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