HomeMy Public PortalAbout9236 WEDGEWOOD ST_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING I
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING //��
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WILLIAM J. FOX. COUNTY ENGINEER .ADDRESS ,2r
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LOCALIFOR APPLICANT TO FILL IN EARETY
BUILDING Q NEAREST
ADDRESS { �cI 3`, j��sG _/I� a v I+ - CROSS ST.
+ DISTNO. GROUP I E PERMIT N0.
LOCALITY I,il ,•,t
NEAREST
CROSS ST. RECEIVED BY RondY for Inspeotlon DATE ISSUED
OWNER G.(/,Y-,;:.e I yV,2X/,t1.s-sC.. ka
MAILINDUSTRIAL
ADDRESS ���a•�'j �: psJ1'"t�.��r��-6 's WASTE APPROVAL
CITY ,:mss ��': - ��{f TEL:+NO./ INSPECTION RECORD
PLUMBERnt�:/1���,!•
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CITY _ 'Sis• TEL.R0./,•
o q TATE
LICENSE NO. / Ls�� /9 r1 COUNTY
PERMIT FEES
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,IUM9ER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ 0.80 i
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BATH TUB 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM............_OUTLETS @ 1.00
WATER HEATER @ 1.00 OB
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDERSLAB WORK
PERMIT s 1 00 ROUGH PLUMBING
TOTAL FEE A OO GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA . THAT I AM THE LEGAL OWN-
ER OF THE ABOVFfDEST3p RESIDENTIAL.PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE �r: �i. .
f/_......_.._...t, ..__ _.... FINAL
76A067 DBS 17