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Home My Public Portal About9247 BLACKLEY ST_Plumbing__ 76A667-CE817 12/59 APPLICATION FOR PLUMBI G PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING B oHNIAG bM �gTTYirRENGI LORI ADDRESS 9247 Blackley Street WILLIAM A JENSEN, SUP'T OF BUILDING LOCg,TTy Tem le City FO7APPJICANT TO FILL IN Naos SST. Encinita Ave NUMBERFIXTURE OR ITEM DWNER Tullo rl OSETADDRESS 24 Blackle Ave 1 CITY Temple C i ty TEL NO 1 LAVATORY CONTRACTOR South Gate Plumbers SINS ADDRESS8462 State R-meet DISHWASHER CITY South TEL NO. LO 7-5031 CONTRACTOR S STATE El LAUNDRY TUB REGISTRATION NO 139293 COUNTY p CLOTHES WASHER D/ISRI T N Gr ONE BY WATER HEATER �/ � GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD w O U 03 0 8 W a rn z TEM 3 OR FIXTU1 00 PER RE $ I 3.00 APPROVALS DATE // 1 SP ECTOR S SIGNATURE PERMIT 2100 UNDER SLAB WORK �(y TOTAL FEE 5 OO ROUGH PLUMBING 4 GAS PIPING "I;? I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT y WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER �! PLUMBING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWN OF THE ABOVE DESCRIBED RESIDENT!AL, PROPERTY UTILITY CO NOTIFIED SIGNATURE OF PERMITTEE FINAL OF ALIDATION ROBERT A WOOD,t cK m O CASH SUPERVISING MECHANICAL ENG'R L10 il rluu6 5 D J .0 C I 'dX867 17 5-50 0 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES , PLUMBING 1 WILLIAM J FOX CHIEF ENGINEER ~ FOR APPLICANT TO FILL IN DlSrT NO GROUP ONE ;ERMITNO PLUMBERS v 1?6(Zt err, ` I vy-y-% +m; RECEIVED BY READY FOR DATE ISSUED � �[`t N A 04,/ FIRST 1 RECTI N ADDRESS 'On Y1 ro BUILDING fl 1 CITY ' TEL NOADDRESS COUNTY LOCALITY LICENSE NO EXPIRES � NEAREST PERMIT FEES CROSS ST J o�Ja ��'SJ�f� V �•/K'I�C i`� NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Ryyg� WATER CLOSET (TOILET) @ O 50 $ ADDRESS BATH TUB CID O 50V'�± CITY C,�'--��'�^�'�'J TEL NO SHOWER @ 0 501 1HEREBY LAVATORY (WASH BASIN) @ O 50 ACKNOWLEDGE THAT 1 HAVE READ THIS r �j APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND / I KITCHEN SINK @ O 50 4-0 STATE LAWS REGULATING PLUM ING 1 CERTIFY THAT 1 P S THE ABOVE VALID LOS LAUNDRY TUB OR TRAY () O 50 ANGELES COUNTY LI E OR I AM THE LEGAL OWNER GAS SYSTEM OUTLETS @ O 50 I rG OF THE RESIDENT iPFP,.QP RTY DESCRIBED ABOVE WATER HEATER @ O 501 �Q SIGNPERM TTOF _- SLOP SINK @ O Sol r INSPECTION RECORD FLOOR SINK @ O 50 FLOOR DRAIN @ O 50 DISHWASHER @ O 50I DRINKING FOUNTAIN @ 0 501 IURINAL a O 50I I ,J HOUSESEWER @ O 501� Q _Z MISCELLANEOUS _0 I I _ APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1 00 I CESSPOOL SEPTIC TANK SEPTIC TANK I DRAIN ( ) PIT ( ) @ 1 00I SEWER PERMIT I 1 00 GAS TEST $ UTILITY CO NOTIFIED TOTAL FEE v ® FINAL r 76A667tSI-E 6178) 11/76 APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING iJ f/� � NUMBER FIXTURE OR ITEM ® FEE ADDRESS IC.�/ �J Gk ler WATER CLOSET LOCALITY r Q &L� BATH TUB NEAREST CROSS ST !J SHOWER OWNER G LAVATORY MAIL ADDRESS ADDRESS / ,T SINK CITY TEL NO DISHWASHER CONTRACTOR � -T l r CLOTHES WASHER ADDRESS CE�a S ��N SWIMMING POOL RECEPTORp CITY I'?e L'� TEL NO L/ys-v2 LAWN SPRINKLER SYSTEM STATE, ? ,` LIC /j WATER HEATER LICENSE NO 2y 7 Y O C ASS �? GAS SYSTEM OUTLETS DISTRICT NO GROUP Z NE/ PR SED BY OUTLETS OVER ✓ ` 2 5 PER SYSTEM INDUSTRIAL m. WASTE APPROVAL 0 INSPECTION RECORD V OL � O Vf Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan check applicant APPROVALS DATE INSPECTOR S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING City Tel No GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER - I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES _ REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST / LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITYCO NOTIFIED SIGNATURE OFPERMITTEE FINAL PLAN CHECK VALIDATION CK Mo CASH PERMIT VALIDATION CK M o CASH 1 3 3"C--JUN 22 5 D 7.5 0 " M ®_ r