HomeMy Public PortalAbout9334 LONGDEN AVE_Plumbing__ DEPARTMENT OF COUNTY ENGENEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J:. FOX, COUNTY ENGINEER ,:ADDRESS
FOR APPLICANT TO FILL IN L°caLITY �"t•�r_
ADD EISS NEAREST
CROSS ST.
DISTRICTr. GROUP I ZONE PERMIT N
LOCALITY 1
NEAREST
CROSS ST. RECEIVED BY Ready for Impaction DATE ISSUED
OWNER /�" r�` /
MAIL 7-a INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL.NO. INSPECTION RECORD
PLUMBER /fidP �4U¢ 3
ADDRESS '[)B Al A/*44r4
CITY -e TEL N0. ;tV gPA 4b.�
r� ❑STAT /
LICENSE NO. /i °7 j� $COUNTY o J
PERMIT FEES z
VUMBER TYPE OF FIXTURE OR ITEM FEE 0
WATER CLOSET(TOILET) @ 0.80 s 90
BATH TUB @ 0.80 13
SHOWER 0 0.80
LAVATORY(WASH BASIN) 0 0.80
j KITCHEN SINK df 0.80
(� LAUNDRY TUB OR TRAY 0 0.80 ® -
SLOP SINK df 0.80
FLOOR SINK df 0.80
FLOOR DRAIN 0 0.80
DISHWASHER 0 0.80
DRINKING FOUNTAIN @ 0.80
URINAL 0 0.80
GAS SYSTEM...___ ._OUTLETS Q 1.00
WATER HEATER
MISCELLANEOUS
APPROVALS;
D TE IN8PEOTOR'S SIGNATURE
UNDER SLAB WORK J7f
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI. GAS VENT
CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED �I
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
THE LEGAL
ER OF THE ABOVESTATE OFLIFORNIA DESCRI ED RESITENAIAL PRO ERTY.°WNL UTILITY CO.NOTIFIED t�./'":�.��
SIGNATUREi. /� _� L�
OF PERMITTEE... FINAL
7eAIIR7 DSR 17