HomeMy Public PortalAbout9650 WEDGEWOOD ST_Plumbing__ ;8178-
CE 817 8- APPLICATION FOR PLUMBING PERMIT :1
BUILDING AND SAFETY DMSION
Department of County Engineer
County of Los Angeles BUILDING C�
JOHN A.LAMBIE,COUNTY ENGINEER fDRESS /CASSATT D.GRIFFIN,SUPT OF BUILDING !CALITY
FOR APPLICANT TO FILL IN c ARE s T.
' OWNERlet E DISTRICT NO. GROUP ZONE
MAIL I
READY FOR INSPECTION
I I
ADDRESS
INDUSTRIAL
' CITY !! WASTE APPROVAL
G t� �!
PLUMBER o INSPECTION RECORD
ADDRESS L n
CITY ®eA TEL.NO.
LICENSE NO. Alt 6 lo
NUMBER TYPE OF FIXTURE OR ITEM FEE
Z WATER CLOSET (TOILET) @ $1.00 $ • 0-0
Q BATH TUB @ $1.00 J
SHOWER @ $1.00
Z LAVATORY(WASH BASIN) @ $1.00
Q KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
'I GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING /
GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND.STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES _
PLUMBING. _
I HEREBY CERTIFY THAT I M PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRE BY ANGELES COON AND STATE OF
CALIFORNIA OR THAT I HE LEGAL OW E OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENT L SIR ..-
SIGNATURE
OF.PERM ITT'EE FINAL
ROBERT A.WOOD.
IOHN A.LAMB COUNTY ENGINEER, VALIDATION SUPERVISING MECHANICALENG'R
C6
M.0. CASH '• .-
__. 4. 6' 5 or,- N011 7 3 11 -00
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