HomeMy Public PortalAbout9152 LONGDEN AVE_Plumbing__ OBS-17 9.58 APPLICATION FOR PLUMBING PERMIT 1
OBS-17
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles
WM.J. FOX. COUNTY ENGINEERBUILDING
ADDRESS -/-,sGi" I
CASSATT D.GRIFFIN,SUP'T OF BUILDING / /' �^
LOCALITY G.. C,
OR APPLICANT TO FILL IN NEAREST
p� CROSS ST. 4'
[PLUMBER
WNER DISTRICT NO. GROUP ZONE READY FOR INSPECTION
AIL n �• �p A
ADORES
/
INDUSTRIAL
ITY '�����G �l� TEL.NO. WASTE APPROVAL
INSPECTION RECORD
ADDRESS
CITY TEL.NO.
9
LICENSE NO.
NUMBER. TYPE OF FIXTURE OR ITEM FEE v
WATER CLOSET (TOILET) S
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CkOTUES WASHER
v
TOTAL NO. ria 0.80 APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM OUTLETS @ 1.00 _
WATER HEATER @ 1.00 UNDER SLAB WORK
PERMIT S 1 100
ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSEDFORNIUTILITY CO.NOTIFIED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE ,
DESCRIBED RESIDENTI L OPE Y.
SIGNATURI
OF PERMITTEE tea/ FINAL
WILLIAM J.FOX.COUNTY ENGINEER LIDATION R.A.WOOD.CHIEF PLBG.INSPECTOR
kC0 9 082-U-1 CCT 17 3 : 2.0 0 '�