HomeMy Public PortalAbout5520 WELLAND AVE_Plumbing__ DOZ-17 10.99 APPLICATION. FOR PLUMBING PERMIT
BS.17
DIVISION OF BUIWING AND SAFETY
Department of County Engineer
County Of Los Angeles BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS ! �•
CASSATT D.GRIFFIN.SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN . NEAREST
CROSS ST:.
M
AIL L, DISTRICT NO: I GROUP I I READY FOR INSPECTION
DRESS. S✓� INIDUSTRIAL
LJ✓
CITY TEL.NO.• WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS c—
CITY 'V TEL. '/ / 3v �'
LICENSE NO. G.✓� t
NUMBER TYPE OF FIXTURE OR ITEM ' E6
WATER CLOSET (TOILET) @ $I.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 • Q
GAS SYSTEM @ $1.00•
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK y �/
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING /
TOTAL FEE GAS VENT_
1 HEREBY ACKNOWLEDGE THAT 1 HAVE'READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER a /
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES �.`
1 HEREBY CERTIFY THAT I A•M PROPERLY REGISTERED AND/OR GAS TEST'
LICENSED-AS REQUIRED BY LOS ANGELES, COUNTY AND STATE OF
CALIFORNIA OR THAT I M THE.LEGAL OWN OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIA ROPERTY.
SIGNATURE / � I,
OF PERMITTEE FINAL /,..J/!-'L,
IV
IOHN A.LAMBIE.COUNTY ENGINEER VALIDATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
CK.• M.O. CAS
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