HomeMy Public PortalAbout9114 BLACKLEY ST_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
BUILDING
WILLIAM J. FOX, COUNTY EN13INEER ADDRESS
EQR/APPLII TO FILL IN LOCALITY ,
BUILDING "I NEAREST
CROSS ST
ADDRESS
DISTRICT NO GROUP ZONE PERMIT NO
LOCALITY tr 17 A �d� �J
NEAREST — sm !
CROSS ST /► /� �R/ EIVEDjYA� Ready for Inspection DATE ISSUED
OWNER
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY O 1�d� } EL NO INSPECTION RECORD
PLUMBER
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COUNTY J
PERMIT FEES
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VUMOER TYPE OF FIXTURE OR ITEM FEE ur
_L WATER CLOSET(TOILET) @ 080 $ �D O
BATHTUB @ 080
SHOWER @ 080
LAVATORY(WASH BASIN) Q 0 80 TJTJ
KITCHEN SINK @ 0 80 c�
LAUNDRY TUB OR TRAY Q 0 80 �Z1
SLOP SINK @ 0 80
FLOOR SINK @ 080
FLOOR DRAIN @ 080
DISHWASHER @ 080
DRINKING FOUNTAIN @ 080
URINAL @ 080
GAS SYSTEM -:5 OUTLETS @ 1 00 D
WATER HEATER @ 1 00
MISCELLANEOUS
_ g- APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDERSLABWORK
PERMIT $ 1 00 ROUGH PLUMBING � .Cli.. e•a / /��
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS —
REGULATING PLUMBING PLUMBING FIXTURES
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST ��,,rtti., 41h gb:3
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED d I ���18
SIGNATURE D I/ /� n a Y I
OF PERMITTEE 4Gh .�G�CYZ� FINAL ei,
76A667 DBS 17 1/53