HomeMy Public PortalAbout9156 WEDGEWOOD ST_Plumbing__ 76A667-CE#817 2-62 c �.y• Q�. ,: _, �� �', ,- _-
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS vozi
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
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITYaeg
TEL. NO /
LAVATORY 1.25 CONTRACTOR
SINS 1.23 ADDRESS
DISHWASHER 1.25 CI TEL. NO
LAUNDRY TUB 1.25 CONTRACTON'S STATE
AEGISTRA NO. � �/ COUNTY ❑
CLOTHES WASHE 1.25 If DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATS 1 V �.1 -A �-
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD
D.
8
0
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Lu
IA
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 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.
1 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 �,;=.INT N TORESIDE IN,THE ABOVE DESCRIBED RE81 TIAL UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE I v t' 1 /•,�. e• v1
FINAL J � f/✓�.i E'`
VALIDATION ROBERT A.WOOD
cK. M.O. + CASH SUPERVISING MECHANICAL ENG'R
LACO 9 4 3 1 JAN 11 5 D 3.5 0-