HomeMy Public PortalAbout9549 BLACKLEY ST_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
bIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS -\�^pq• �.�p�/�i\piA
LOCALITY 1 G 1
FOR APPLICANT TO FILL IN
BUILDING /�/� /�� / j n�� ��� NEARES
ADDRESS 'c/ `� J �y/ CROSS ST. O + 1 (f
DIST`RI�CT NO. GSR` UUP ZONE PERMIT NO,
LOCALITY
NEAREST A �d��� u
CROSS ST. !mow l� RECEIVED BY Ready for Inspection DATE ISSUED
OWNER /4..L�A A �� � _ SAS ��
MAI—E� c • INDUSTRIAL
ADDRESS ���( �j- j� � WASTE APPROVAL
CITY �Q-� pQ �/��/TTEEL.N0.� ��� INSPECTION RECORD
PLUMBER A /Ak1v.,� ,4/'i/�1
ADDRESS
CITY TEL.NO.
❑STATE
LICENSE NO. FI COUNTY ;� �' / J
PERMIT FEES
{LJ MEtER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ 0.80 $J 6
O
BATH TUB @ 0.80 pS ®
SHOWER @ 0.80 POO
LAVATORY (WASH BASIN) @ 0.80 ` tG G /
KITCHEN SINK @ 0.80 u
j LAUNDRY TUB ORTRAY @ 0.80
SLOP SINK @ 0.80
FLOORSINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM____ ___.....OUTLETS @ 1.00 (� Q
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
4
UNDER WORK
PERMIT $ 1 00 ROUGH PLUMBINGTOTAL
J--
TOTAL FEE GAS PIPING 1+ y"
IHEREBY ACKNOWLEDGE THAT 1 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED w
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE STATE OF CALIFORNO OR THAT I AM THE LEGAL OW
ER OF THE ABOVE DES BED RESIDENTIAL''PROPERTY. UTILITY CO.NOTIFIED "
SIGNATURE /J
OF PERMITTEE. . ,._
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