HomeMy Public PortalAbout5664 SULTANA AVE_Plumbing__ 7BABB7
CE 817 8_50 APPLICATION FOR PLUMBING PERMIT 1
11MM NG AND SAFETY DMSION
Department of County Engineer
County of Los Angeles BUILDING
JOHN A..L.AMBIPE,COUNTY ENGINEER ADDRESS
CASSATT 0.GRIFFIN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
- CROSS ST.
1
OWNER DISTYNO. GROUPZ NE READY FOR INSPECTION
MAIL
I T I ACS
ADDRESS .�s�
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
PLUMBER , INSPECTION RECORD
ADDRES
CITY TEL.NO. O J '
LICENSE NO. �� �Ole
NUMBER TYPE OF FIXTURE OR ITEM FEE ,
WATER CLOSET (TOILET) @ $1.00 $ ®�
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00 D
APPROVALS
'DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK A
PERMIT $ 1 00 ?' ROUGH PLUMBING
GAS PIPING
TOTAL FEE
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES t
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST �_ .�' '
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWUR OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED REBIDTIAL PROPERTY. _ -
SIGNATURE
OF PERMITTEE INAL r
ROBERT A.WOOD,
JOHN A.LAM .COUNTY ENGINEER /f VALIDATION SUPERVISING MECHANICAL:ENG'R
CvK. M.0. CASH
a�' a 910.24 mg 31 3 A 6.00 M
ease APPLICATION FOR PLUMBING PERMIT
B=ING AND SAFETY DMSION
Department of County Engineer // '
County of Los Angeles BU LD188�6
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING
mpppmv� _9011,10,01 LOCALITY
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST.
OWNER / v� C'DIL R1;.,
i D1ST0. GRO P IE I REfADY FOR INSPECTION
MAIL.
ADDRESS jjjj����1111
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
PLUMBER / eLG INSPECTION RECORD
ADDRESS OD 6 !(� /'A
CITY 7/Ll�O,G�L TEL.NO. (/'v �7'Ci 7tJ ' '�-�� uh .7 i!
LICENSE NO. /,37Z/-/7 C-J 6 ` �!
NUMBER TYPE OF FIXTURE OR ITEM .FEE
WATER CLOSET (TOILET) @ $1.00 $
BATHTUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASHBASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1:00
LAUNDRY TUB OR TRAY @ $1.00 `
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00 ,
GAS SYSTEM @ $1.00 d
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
ROUGH PLUMBING
PERMIT $ kZ-1
900 nGAS PIPING
TOTAL FEEv�Yv GAS VENT
I HEREBY ACKNOWLEDGE.THAT I HAVE READ THIS APPLICATION HOT.VI(l1TER HEATER L`
AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY
' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. pLUMHING FIXTURES
I HEREBY CERTIFY THAT. I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I aM THE LEGAL OWN OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTI/\is/h�AOPERTY.
SIGNATURE-
OF PERMITTEE FINAL
ROBERT A.WOOD,
JOHN A.LAMBIE.COUNTY ENGINEER V ATION SUPERVISING MECHANICALENG'R
5 'UD ,rug 2 7 5 A 2.00
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