HomeMy Public PortalAbout9567 WEDGEWOOD ST_Plumbing__ 76`SS' DBS,17 7-51 APPLICATION.FOR PERMIT
DEPARTMENT OF NG AND SAFETY . ,
' COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FORjX0PLIOANT TO FILL0,01 ^ DISTRICTR E PERMIT( � O•
PLUMBER RECEIVED BY READY FOR DATE ISSUED
I A , FIRST INSPECTION ��v
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ADDRESSc-i.^_ �y
ILDING
DITY.I��" r-ss-a TEL'No.f:� �FS l� ! ADUDRE88 ®� / .��r�..�1_{Ln
COUNTY ` 3. �'s� LOCALITY e-r -� �i�n ' i�
L NSE NO.sti EXPIRES ca w. o
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL ��
WATER CLOSET(TOILET) 0.50 E ADDRESS !T "
® BATH TUB 49 0.50 CITY TEL No.
.SHOWER 0 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH Bi4BIN) a 0.50 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 49 0.50 AND STATE LAWS, REGULATING PLUMBING.
I.CERTIFY THAT 1 POSSESS THE ABOVE VAL-ll0 LOS
LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE L5P L&OWNER .
OF THE REBIDENTIAL,PADPERTY EFESCIZIBEDD ABOVE. �`/
GAS SYSTEM UTLETB a 0.50 SIGNATURE or
WATER HEATER, a 0.50 PERMITTE -
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK a 0.50
FLOOR DRAIN ! 0.50
DISHWASHER O.'S0
DRINKING FOUPCTAIN 0.50
URINAL O.SO <
Q
HOUSE SEWER Q 0.50 Z
MISCELLANEOUS
O
O
APPROVALS
DATE INBPEOTOR'B NAME
ROUGH PLUMBING i�
DAB PIPING
GAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT 1.00 OAS TEST S
GAS
CO.NOTIFIED
TOTAL FEE
FINAL �''
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