HomeMy Public PortalAbout4938 WILLMONTE AVE_Plumbing__ 76AS67 8158 �R
CE 817 PLICATIO-N FOR PLUMBING ERMIT
� •
BUILDING AND SAFETY DMSION
Department of County Engineer
County of Los Angeles BUILDIN
JOHN A.LAMBIE,COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT OF BUILDING 1
LOCALITY
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST.
OWNER DISTRICT�N GRO ZONE READY FOR INSPECTION
MAIL s I
ADDRESS
INDUSTRIAL
CITY TEL,NO. WASTE APPROVAL
PLUMBER IAT ON. RECORD
ADDRESS
CITY . 'TEL.NO.
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tp Q -3 _ `
LICENSE NO. �3 � 7 0 �
V s
NUMBER TYPE OF FIXTURE OR ITEM FEB `•e�„�
WATER CLOSET(TOILET) @ $1.00
HATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00 (9.O
KITCHEN SINK @ $1.00 '
DISHWASHER @ $.1.00
LAUNDRY TUB.OR TRAY @ $1.00
CLOTHES WASHER @ $1.00 `r!^� �� , elm� 4.1
WATER HEATER @ $100 l
GAS SYSTEM @ .$1.00
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A-, L/ ._ 1.1-Ar;
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING ll9 ._(?e.
I GAS PIPINGPr-
TOTAL FEE
GAS VENT
1. HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOTVIi6TER HEATER
AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING.
PLUMBING. pLUNIBING'FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST {t*, I9 AsJ
LICENSED AS REQUIRED BY IAS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEG WHE THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED 'RESIDENTI ROP
SIGNATURE
OF PERMITTEE • FINAL
ROBERT A.WOOD.
JOHN A.LAMBIE,COUNTY ENGINEER `/MMATION SUPERVISING.MECHANICALENG'R
C6. M.O. CASH
15 7 8; AUS26 3 8.00