HomeMy Public PortalAbout10916 WILDFLOWER RD_Plumbing__ �. APPLICATION
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7617; APPLICATION FOR PLUMBING i ERM ■ 1
CE e17 q-_S6 '
iUMDING AND SAFETY DIMION
Department of County Engineer
County of Los Angeles
BUILDING
JOHN A.LAMBIE,COUNTY ENGINEER ADDRESS O
CASSATT 0.GRIFFIN.SUPT OF BUILDING
LOCALITY _
FOR APPLIC TO FILL NEAREST 00,
CROSS ST.
OWNER DISTRICT NO. �GROUP ZO. E' READY FOR INSPECTION
MAIL
ADDRESS `� ._d� ///���
INDUSTRIAL I
CITY TEL.NO. WASTE APPROVAL
Valley Plumbing Co. INSPECTION RECORD
r PLUMBER '
ADDRESS 442 W. Fleetwood p1.
en ora Ed 5®1293160847
.
CITY TEL..NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE i
WATER CLOSET (TO.ILET) @ $1.00 $
` BATH TUB Q. $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $.1.00
DISHWASHER @ $.1.00
LAUNDRY TUB ORTRAY @ $1.00 r
CLOTHES WASHER @ $1,00
WATER HEATER @ $1,00
GAS SYSTEM. @ $i.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDERC.
PERMIT S 1 00 ROUGH PLUMBING.
GAS PIPING i fal
TOTAL FEE -
GAS'VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THI APPLICATION �ry�'
AND STATE THAT —0
THE ABOVE IS CORRECT AND AGREE TO. COMPLY HOT WATER HEATER /
WITH ALL COUNTY ORDINANCES AND. STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES. �•�/ y. �
I HEREBY CERTIFY THAT 1 AM PROPERLY' REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY I.% ANGELE COUNTY AND STATE OF
CALIFORNIA OR THAT 1 A HE' LEG OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PERTY. Z
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SIGNATURE
OFPERMITIE
ROBERTA.WOOD.
JOHN A..LAMBIE: OUNTY ENGINEER LIDATION '$UPERVISI'NG MECHANICAL ENG'R
CK N.0. CASE
{ '�3 5 �. 5 OCT 3 1 0.0 0 M