HomeMy Public PortalAbout9163 WEDGEWOOD ST_Plumbing__ + 76A667`(CE-817)- 5/78
AP CATI FOR P BINE: PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS !�
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
ST.
G
NUMBER FIXTURE OR ITEM @FEE CROSS
WATER CLOSET 1,75 S^ OWNERMAIL
a
BATH TUB 1,75 9T, ADDRESS �
SHOWER 1,75 ` 75 CITY , TEL. NO.
LAVATORY 1,75 ("O CONTRACTOR
SINK 1.75 7 ADDRESS
DISHWASHER 1.75 CITY TEL. NO.
CLOTHES WASHER 1.75 STATE ` LIC
LICENSE NO. CLASS . (d
SWIMMING POOL RECEPTOR 1.7511
LAWN SPRINKLER SYSTEM 1,75 DC O. UP Z NE F `CES D BY
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM •30 O
F
U
W
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE 5
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan feck applicant UNDER SLAB WORK f Jw
Name ROUGH PLUMBING
Addresx,
GAS PIPING 7 -Ao-'1/
City I. NO. GAS VENTr•. �,`•�1 _ �+/
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES • Y,,'SSj1,''f4! I/
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELE COUNTY AND STATE OF -
CALIFORNIA OR THAT I AM THE LE L ER OF• AND INTEND TO
RESIDE IN THE-ABOVE DE RIBE0 R D T AL PROPERTY. FINAL.
SIGNATURE -
11
OF PERMITTEE
PERMIT VALIDATION CK. .0. CASH
PLAN CHECK VALID N CK. M.0 CASH
091� AY 2:1� 5 0 22.25A%
76A667A • .3 ��1
CE 817(REV.11/78) '•' �� ���444
APPLICATION R PLUMB P RM IT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING h�
�!
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
WATER CLOSET LOCALITY -
NEAREST
BATH TUB CROSS ST. p�cJ
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK CITY �_ TEL.NO.
DISHWASHER CONTRACTOR
CLOTHES WASHER
ADDRESS
If-
SWIMMING POOL RECEPTOR
CITYell TEL..NO� 8�.
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER LICENSE NO. CLAS
GAS SYSTEM 'LeiTt'LETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
o.d
GAS PIPING OGS
GAS VENT at
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST 2 vo
Plan check fee UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL m .d .-
Plan check applicant: PLAN CHECK VALIDATION
Na
Address O 296 1.3 A
Ci T .No. i # 000005
I HEREBY ACKNOWLEDGE THAT I HAVE HIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 2'o b 1 3,O 0
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS o 0 0 1 a Q Q U
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE
LEGAL R OWNER OF,AN NTEND TO RE E IN THE ABOVE DESCRIBED RESIDENTIAL 0328-80 Z r� a O
PROPE
SIGNATURE J�G O ,
AIR
OF-PERMIT
DI TRICT NO� CE ED BY
INDUSTRIAL
WASTE APPROVAL -