HomeMy Public PortalAbout9657 WORKMAN AVE_Plumbing__ 76AG:7 APPLICATIO•Id FOR PLUMBING PERMIT 1
CE 6I7 8-BUILD NG AND SAFETY DIVISION - -
Department of County Engineer
County of Los Angeles BUILDING 6 Worlanan Ave
JOHN A.LAMBIE,COUNTY ENGINEER ADDRESS
CASSATT 0.GRIFFIN;SUPT OF BUILDING LOCALITY Te le Cit
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER Michael Kay D)STR1Q7.et0. GROU Z E READY FOR INSPECTION
MAIL
ADDRESS ��+✓ ��,lll///
INDUSTRIAL
CITY TEL.NO. WASTEAPPROVAL
PLUMBER Belvedere Plumbing Coo INSPECTION RECORD
ADDRESS 11900 E. Gamy
c
CITY El Monte TEL.NO.GI 89836 1: P &�J-wm w LZ "A XE'/-0-q,4&
LICENSE NO. 51932 ® C36
NUMBER TYPE OF FIXTURE OR ITEM FEE /f°%-,- e., !Y jO.A(1
WATER CLOSET (TOILET) @ $1.00 $ 21,00
HATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY(WASH BASIN) @ $1.00 b _
1 KITCHEN SINK @ $1.00 '
DISHWASHER @ $1.00
1 LAUNDRY TUB OR TRAY @ $1.00 1
CLOTHES WASHER @ $1.00 LQI
WATER HEATER @ $1.00 k V
GAS SYSTEM @ $1.00 . d�Z .�- 6�-- �6�_ �'(- 1 A�
APPROVALS
1.0 �' DATE
INS P ATURE
UNDER6EAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE �3 DO GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOTV4(!►TERHEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR GAS TEST !
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
.CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL P ERTY. �r
SIGNATURE +
OF PERMITTEE FINAL
ROBERT A.WOOD.
IOHN A.LAMBIE,COUNTY ENGINEER ' !=ATION SUPERVISING MECHANICALENG'R
°- ' U%�5'2 2 JUL25 5 A 13.0 0 �
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