HomeMy Public PortalAbout5937 SULTANA AVE_Plumbing__ 76A6e"l APPLICATION FOR PLUMBING PERMIT 1
CE 817 8-56BUILDING AND SAFETY DIVISION
Depaitment of County Engineer
County of Los Angeles BUILDING
JOHN A.LAMBIE,COUNTY ENGINEER ADDRESS
CASSATTO.GRIFFIN,SUPT OF BUILDING
LOCALITY
r FOR APPLICANT TO FILL IN NEAREST r
CROSS ST
OWNER / DISTRICT NO. SGROUP ZONE READY FOR INSPECTION
MAIL 4
ADDRESS �J
INDUSTRIAL
CITY. TEL.NON WASTE:APPROVAL.
PLUMBER Grs;l,ft /�� INSPECTION RECORD
ADDRESS
CITY /1 TEL.NO. --Pi 7 (gA
LICENSE NO. �� ! ��/�'� `� 'L/ ✓Ir q-r-A,-,4>V
i
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $� ,./r}-, " f✓.%�jiZ� �'�/ /� :s�J('!s;,
r , -
BATH TUB @. $1.00 1• + :�3o M,�j
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1..00
KITCHEN SINK @ $1.00 I. //��
'k DISHWASHER @ $1.00 f"?'7`" i�� ;y � 174117.r-2
LAUNDRY TUB OR TRAY @ $1.00
pkr-,r,s ilcF zA/ -1224 1�1,�,�s
CLOTHES WASHER @ $1,00 �r r
WATER HEATER @ $1.00 r� ^ /F Ti) ,Nlf1 i*p' r` JJ J� Rr,
GAS SYSTEM @ $1.00 6104', ,PflAM-1--h P/ 81,
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APPROVALSy�,�
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK.-/ / n
PERMIT $ Z 00 ROUGH PLUMBING ►• - + r4PP
GAS PIPING
TOTAL FEE D 170 GAS VENT 58� 0,1(hoot.ildl
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT VV(ATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 4`1.
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST - hi A/
+ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF f�n
CALIFORNIA OR THAT I AM THE LEGAL OW OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDETI L�P�' /VN
SIGNATURE �l� 1
OF PERMITTEE FINAL 1/,f/;1ffo
Sm ROBERT A.WOOD.
JOHN A.LAMBIE.COUNTY ENG ERALIDATION SUPERVISING MECHANICALENG'R
.. M.O. CASH .
t&O i 4 9�, JAN 7 3 A 1 0.0 C�