HomeMy Public PortalAbout9518 GIDLEY ST_Plumbing__ '76A66— -CE#817 10.62
APPLICATION FOR PLUM _ ING PER , T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING '
JOHN A. LAMBIE, COUNTY ENGINEER ADDRES
WILLIAM A. JENSEN, SUPT of BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25
MAIL Oki
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CI �rL TL NO.
LAVATORY1.25 , CONTRACTOR► �^
SINK 1.25 ADDRESS$6 2 Z
DISHWASHER 1.25 CITY^� TEL. NO. �� I
LAUNDRY TUB 1.25 CONTRACTOR STATE
REGISTRATIO NO COUNTY
CLOTHES WASHER 1.25 DISTRICT N GROUP ZONE PROCESSEP-IJY
WATER HEATER 1.50 uf1
GAS SYSTEM-OUTLETS--1.50 INDUSTRIAL d
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
OC
O
r
U
W
IL
Vf
Z
APPROVALS DATE INSPECTOR'S SICe[JRTUPE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAZZ UTILITY CO. NOTIFIED
SIGNATURE
OF PERM ITTE
FINAL
LIDATION ROBERT A. WOOD
cK. M.O. CASH SUPERVISING MECHANICAL EN`s'G'R