HomeMy Public PortalAbout5411 WELLAND AVE_Plumbing__ FOA667 _ A P-P Li:CAT I O N •FOR -P LU M'B I N G PERMIT 1
)Els-1710.99..• '
�/-PQn.SION OF BUILDING AND SAFETY
f Deportment of County Engineer
• COuniy of Los Aage188BUILDING //'
JOHN A."LAMBIE,.COUNTY ENGINEER ADDRESS
CASSATT D.,GRIFFIN,8UP'T OF'BUILDING q� i
LOCALITY' ry,
FOR APPLICANT TQ:FILL IN NEAREST
a, c CROSS ST.
OWNER • n//��F �/s DISTRICT NO. GROUP ZONE READY FOR INSPECTION
AMAIL:DDRESS @7 ILiY I I I•
INDUSTRIAL
CITY C TEL.NO. l WASTE APPROVAL
PLUMBER � 'T� ��', u�1BIr�'/_ /1r �- - --rf1 INSPECTION RECORD
i
ADDRESS
CITY •c. ^I EL NO. �5rL7 D O
LICENSE NO.
NUMBEW 'TYPE OF FIXTURE OR ITEM FEE. /
WATER CLOSET (TOILET) " @ $1.00
BATHTUB ° " @ $1.00. / i• e 1
SHOWER @ $1.00 Q 7
LAVATORY (WASH BASIN) @ -$1.00
i
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 O D
APPROVALS
DATE INSPECTOR'S SIGNATURE.,
UNDER SLAB WORK 5 { pf` f.wtn[:c+nn �
ROUGH PLUMBING 6 `L�•R- /1 tt�.��4 `'j•arls�..f
PERMIT $ 1 00
GAS PIPING.
TOTAL.FEE f �rJ
GAS•VENT
1 HEREBY ACKNOWLEDGE THAT' 1 HAVE-READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY n
WITH ALL COUNTY ORDINANCES AND. STATE LAWS REGULATING pLII.MBING FIXTURES
PLUMBING,
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'1 AM THE,LEG L OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDEN OPERTY.
SIGNATUR
OF PERM O FINAL
Im
IOHN A.LAMBIE,COUNTY ENGINEER• VALIDATIO ROBERT A.WOOD.'CHIEF PLBG. INSPECTOR
CK. M.O:.. CASH
LCo '3 0 2°1",MAR 24 3 A 1 2.00: ,