HomeMy Public PortalAbout9546 WEDGEWOOD ST_Plumbing__ 78A887-C EA!817 10.82 �i�l✓ /(:..- '
APPLICA'T'ION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUP'T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNERjr& c c c dq
WATER CLOSET $1.25 o MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR L GQ
SINS 1.25 Z ADDRESS
l DISHWASHER 1.25 CITY PI)VA TEL. NO-
LAUNDRY TUB 1.25 REGISTRATION NO. OL d COUNTY
CLOTHES WASHER 1.25 DIST ICT NO. GROUP ZONE 1�,P7ESSED BY
WATER HEATER 1.50 (J��H � �
GAS SYSTEM_ OUTLETS 1.50 WASTE
INDUSTRIAL PROVAL
OUTLETS OVER 5 PER SYSTEM 30 W
INSPECTION RECORD
IN
z
511144
APPROVALS VATF INSPECTOR'S SIGM,1.6T R'E
PERMIT $ 2 00 UNDER SLAB WORK / � aL
ROUGH PLUMBING L
TOTAL FEE r .GAS PIPING I '3�Y'
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT TME ABOVE IB CORRECT AND AGREE TO COMPLY GAS VENT f s I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
i:rr 1,i._ 'r .//'='Ai • l .r
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES •.'I /' '1 L it �°
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF• GAS TEST ��+J.r %
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO P. r 4`
RESIDE IN,THE ADO ESCRIBEO RESIDENTIAL PR PE Y. UTILITY CO.NOTIFIED Q,`,I"I ��.r~�yp•-•..�.8�+,/� �'.
SIGNATURE 11"1i _ Y
OF PERMITTE FI4ALl?f1 �=fPrd
LIDATION ROBERT A.WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
9-9 .2 3 NO JLW 10 5 D 1.625,- #