HomeMy Public PortalAbout9503 GIDLEY ST_Plumbing__ 76A667-CE817 6-60rL �L
APPLICATION FOR PLUM ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUP'T OF BUILDINGS
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER �?
WATER CLOSET MAIL
BATH TUB ADDRESS S 7 lA�
CITY - , TEL. N I /
SHOWER
LAVATORY CONTRA OR
SINK ADDRESS �-C►
ll
NO.
DISHWASHER CITY /(G!./� TEL �J
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER DISTRI T NQ. GROSS, ZONE P SSED BY
WATER HEATER I (.e"
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
N
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0
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m
O1.00 PER R FIXTURE $ I / G 1/
/ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE I ��t ROUGH PLUMBING
(V/ GAS PIPING
[HERE CKNOWLEDGE THAT I HAVE READ THIS APPLICATION
HAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
UNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
CERTIFY THAT I AM PROPERLY REGISTERE AND/OR PLUMBING FIXTURES
REQUIRED eY LOS A ELES OUN A TATE OF GAS TEST
R THAT 1 AM ,TH E A OW i E AB VESIDENTIA PRUTILITY CO. NOTIFIED
TE 1. FINAL
OFALIDATION ROBERT A. WOOD,
�' Y.O. CASH SUPERVISING MECHANICAL ENG'R
111 L, -- _ 1 0 3 .0 0