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HomeMy Public PortalAbout9439 BLACKLEY ST_Plumbing__ 76A667 CES17 6 57 /T ?6 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING / BUILDING AND SAFETY DIVISION ADDRESS L JOHN A LAMBIE COUNTY ENGINEER r _ CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY J FOR APPLICANT TO FILL IN NEAREST CROSS ST NUMBER FIXTURE OR ITEM S WATER CLOSET OWNER bMAIL I BATH TUB ADDRESS SHOWER CITY TEL NO IANA PLUMBING LAVATORY CONTRALTOolq TRACTO SINK ADDRESS 1332Y F- or Street City of indugfry, DISHWASHER CITY LaNO LAUNDRY TUB CONTRACTOR S - ' STATE t REGISTRATION NO COUNTY ❑ CLOTHES WASHER N DISTRICj-4bF9 GRS I� ZONE READY FOR INSPECTION WATER HEATER �Jd� /T GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD ✓ / l -Pa;v'v-- APPROVALS $100 PER ITEM � j�' / DATE INSPEUOR NATURE OR FIXTURE $ //I // / UNDER SLAB WORK ROUGH PLUMBING PERMIT s 1 00 GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGPLUMBING FIXTURES PLUMBING LDE5CRIBED HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST CENSED AS REQUIRED BY LOS �L�ELES COUNTY AND STATE OF LIFORNIA OR THAT I AM EGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED RESIDENTIA PR P TTURE ITTEE �J FINAL ROBERT A WOOD © ATION SUPERVISING MECHANICAL ENG R CK M 0 CASH 76A667-CE817 6f57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN, SUP T OF BUILDING LOCALITY ' FOR APPLICANT TO FILL IN NEAREST 4 CROSS ST NUMBER FIXTURE OR ITEM s OWNER WATER CLOSET MAIL BATH TUB ADDRESS _ SHOWER TEL NO at LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CITY TEL.NO LAUNDRY TUB CONTRACTOR'S STATE REGISTRATION NO COUNTY ❑ CLOTHES WASHER DISTRICI-bLff) GZO( READY FOR INSPECTION WATER HEATER S L GAS SYS EM f7 INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS $1 00 PER ITEM ^ / DATE INSPECTOR S SIGNATURE OR FIXTURE $ �V a UNDER SLAB WORK ROUGH PLUMBING PERMIT S 1 00 GAS PIPING - TOTAL FEE I ad GAS VENT I HEREBY ACKNOWLEDGE THAT I 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 FIXTURES fl PLUMBING 1HEREBY CERTIFY THAT I AM 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 RESIDENTI L� ROP �RTY /d SIGNATURE 7 1/ OF PERM ITTEE FINAL ROBERT A WOOD ©z 6 CK 0 TION SUPERVISING MECHANICAL ENG R CK M 0 CASH LQ3 1 9 2 JUL2 5 5 A 3.00 �