HomeMy Public PortalAbout4840 WILLMONTE AVE_Plumbing__ S `
,e^B67 APPLICATION FOR PLUMBING PERMIT ,1
OBS-17 IO.Si3
DMSION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT OF BUILDING f �`
LOCALITY /
FOR APPLICANT TO FILL IN NEAREST
AIL _ CROSS ST.
OWNER �wx DIST NO. GROUP I � READY FOR INSPECTION
ADDRESS , �L��� •!�I`MII'w `
CITY Q X77 / CI INDUSTRIAL o
EL. NO. WASTE APPROVAL
PLUMBER ,f 41 INSPECTION RECORD
ADDRESS /22/
CITY �• / TTEELL..�NO 0340?L
LICENSE NO. � -+
NUMBER TYPE OF FIXTURE OR ITEM FEE `may fl{Cpl( Q �� I,-km 0\per -S e.6
WATER CLOSET (TOILET) @ S 1.00
BATHTUB @ 51.00 �� �n1..4���. 1�15.hA �S•C=, A�.V
SHOWER @ $1.00 �/� A�hkl-•
LAVATORY (WASH BASIN) @ 51.00
KITCHEN INK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ 91.00
CLOTHES.WASHER @ S1.00
WATER HEATER @ 81.010
GAS SYSTEM @ $1=
APPROVALS
DATE INSP CTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT S 1 00 ROUGH PLUMBING SCS
GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 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. 3 PLUMBING FIXTURES 1�
1 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 LEGA-4 OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROP Y.
SIGNATURE
OF PERMITTE FINAL
IOHN A.LAMBIE,COUNTY ENGINEER VALIDATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
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M.o. casx
ACO h405' MAY25 3 12.00