HomeMy Public PortalAbout9728 BROADWAY_Plumbing__ °`""' APPLICATION FOR PLUMBING PERMIT'
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DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BILDI
WM. J. FOX, COUNTY ENGINEER AD DRESSNe //LO /P�gIJ L✓Ay
CASSATT D. GRIFFIN. SUPT OF BUILDING
LOCALITY
fKITCHEN
OR APPLICANT TO FILL IN NEAREST
sROSST{� I -o /' �S DISTRICT� INDUSTRIAL
TEL. NO. WASTE APPROVAL
(QWY S � oOL- Co, 'INSPECTION RECORD
` ( TEL. NO.
. TYPE OF FIXTURE OR ITEM FEEATER CLOSET (TOILET)TH TUBOWERVATORY (WASH BASIN)
ITCHEN SINKISHWASHERU NORV TUB OR Tggy
CLOTHES WASHER
TOTAL NO. @ 0.80 APPROVALS
-- DATE �ISPECTOR•S SIGNATURE
y 2
UNDER SLAB WORK
GAS SYSTEM-OUTLETS @ 1.00 —5- Y�A..LC
L00 ,\4_+• -
WATER HEATER _
@
ROUGH PLUMBING _
PERMIT S I 00 GAS PIPING
TOTAL FEE OQ GAS VENT
[DESCRIBED
EBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER _
TE THAT THE ABOVE IS CORRECT AND AGREE TO C014PLY
LL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
G.
EBY CERTIFY TI4AT I A PROPER REGISTERED AND/OR GAS TEST
D AS REQUIRED BY L L OU ND STATE OF
NIA OR THAT I A E O F THE ABOVE _ UTILITY CO. NOTIFIED
RESIDENTIAL PA
URERMITTEE FINAL ,]
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION ,
JEo 1 0 1 0 5 MAR 1 3 2.0 0 m:
BY
• �DEPurY�