HomeMy Public PortalAbout5102 SULTANA AVE_Plumbing__ O°A°°T
eGR 17APPLICATION FOR PLUMBING PERMIT 1
ID%SION OF BUILDING AND SAFETY
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JOHN A L.AMBIE COUNTY ENGINEER
CASSATTD GRIFFIN,SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
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MAIL 1 ♦
ADDRESS
INDUSTRIAL
CITY TEL WASTE APPROVAL
PLUMBER INP iTION L�!ORD
ADDRESS
CITY THL NO
LICENSE NO
HUNGER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) 100 O
BATH TUB v oo
SHOWER @ $100
LAVATORY (WASH BASIN) ® $100
KITCHEN SINK @ $100
DISHWASHER @ $I 00
LAUNDRY TUB OR TRAY @ •too
CLOTHES WASHER ® $too O'o
WATER HEATER ® $t 00
GAe SYSTEM @ $t 00
APPROVALS
DATE INS CTOR S SIGNATURE
JABOVE
NDER SLAB WORK
PERMIT • 0 ROUGH PLUMBING
GAS PIPING
TOTAL FEE O ^�
GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THISN HOT WATER HEATER
AND STATE THAT THE ABOVE IB CORRECT AND AGRELY
WITH ALL COUNTY ORDINANCES AND STATE LAWS6 pLUM BIND FIXTURES
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AOF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OFVE UTILITYCO NOTIFIED
DESCRIBED RESIDENTIAL P PE
SIGNATURE
OFPERMITTEE FINAL
JOHN A LAMBIE CouN NGINEER VALIDATION ROBERT A WOOD. CHIEF PLBG INSPECTOR
D. 5 8 2 8 u, I4AY 8 3 800 to