HomeMy Public PortalAbout9409 GIDLEY ST_Plumbing__ 0- 1 TLJ 1*74 n
ZPPLICATtON FOR. LUMBI G PERMIT
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BUILDING AND SAFE-TY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BU11.
NUMBER FIXTURE OR ITEM O FEE ADDRESS
WATER CLOSETLOCALITY
BATH TUB a20Sa SY
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK CITY T EL.NO.
DISI-WASHER CONTRACTOR P.AGIFfe t139
CLOTHES WASHER .
ADDRESS
SWIMMING POOL RECEPTOR
aTY MPLE MYy Q
LAWN SPRINKLER SYSTEM
TE
WATER HEATER UCCENSENO. cn— l uCLASS
GAS SYSTEM OUTLETS DISTRIQT NO. GROUP I zo/E BY
INDUSTRIAL
WASYE APPROVAL v
IWIE4TION RECORD V
09 1
7— b4o, ' L 6-,P`v^T N a O
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
Plan check applkant
APPROVALS DATE IKWIECTOII'S SIGNATURE
Name
UN DER SLAB WORK
Address ROUGH PLUMBING
City Tel.NO. GAS PIPING
IHEREBY ACKNOWLED.E THAT I RAVI READ THIS A"L)CATHTM MID STATE GAS VENT
THAT THE ABOVE LS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIKA KM
MO STATE LAWS"-"I-AnNa FLUYBIMQ I HOT WATER HEATBt
I HEREfY CERTIFY THAT I AN PROPERLY RYGMTERED AND/OR L,CE"ED AS PLUMBING FIXTURES
FEQUDtED BY LOS ANGELES COUNTY AND STATE OF CALFORNN OR THAT 1 Alf THIP GAS TEST .
LEGAL OWNER OF,AND INTEND TO RESI OVE DESCRIBED RES1DEKTIAL
P Rap e,TY. UT I LLTY CO.NOT I H ED
S)9NATURC!
.00 P e RMf r FINAL
PLAN CHECK VALIDATION CIL' MLO, CAM PERMrT VALIDATION C 11L CASH
RRV [BOE YNA HIMISPECf -w ---2 b 1 7�5 0
DSS-17 10-35 APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AM SAFETY
D"xwhnoa! of Cogan Engta«x
xounl of Los BUILDING
JOHN A. LAMBIE, CoLYNTY ENa1Nem� ADDRace .l T,
CASSATT D.GRIFFIN,Dar"T.Q0 adiLDIl10
LOCAL PYY
FOR APPLICANT TO FELL IN -N-p 5 WEar
cR
OWNIERDISTRICT NO. GROUP ZONA/ uAnT rot ltiricrioe
SIRE" /� 8 � 1
O TEL Ntl,
l%uTl('RIAAPPI
WAH"f'[ ROVAL
ADD yr - Z S
crTY w i+ taL No. 7 3 7'12- v
uc No. 3
ru�nn( TYrIK Or FPCTURX OR o-XM FXX
WATERC g (Tolurr) 91.00
BATH TUB 1.00
-j—
QHOW4R IF1.00
LAVATORY (WASH BASIN) Q IP1.0-0 I D
KITCHEN SINK q1.00
DIGHWAOHER 1.80
LA NDRY TUD OR Tr-KY Q JI1.00
CLOTH WASHER 1.00
WATOR HEAT !11.00 /C
AS GYBXEM 0 V1.00 AL
APBEOVALS
DATE !II ECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT + 7 00 ROUGH PLUMPING
_ 6AS PIPING
LTOTAL FEE D G"VENT
BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT ITER HEATER
TE THAT THE ABOVE IS CORAECST A�1D AGREE TO COMPLY
WITH L COUNTY ORdkI1ANCES AND STAT$ iAws REGULATING pLUF1BIN FLXTUREO
G.
EPT CERTIFY THAT 1 A■ PROPERLY REGIS' Ftn A)ID/OR OAATE8T
D AS REQUIRED BY LOB ANGELES COUNTY AND STATE OF
RLA OR TFjAT I AM THE iSG L OWNER OK BOVI; UTILITY CO.NOTI IED
ED f(EdIDEXTIAI jP2OPlrRTr,
UR11 _JUAITTER TItNAc�LT
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATIO}, ROBERT A.WOOD, CHIEF PLBO. INQPKCTOR
0 5 8 Q 1 NOIR 6. 3 8.0 �'