HomeMy Public PortalAbout9659 WEDGEWOOD ST_Plumbing__ 76A667-CE817-8.57
APPLICATION FOR'PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER r ,�v
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D.GRIFFIN, SUPTOF BUILDING LOCALITY
FOR APPLICANT TO FILL IN 4 CROSS ST.T. 0/-'
NUMBER FIXTURE OR ITEM p
OWNER
WATER CLOSET
MAIL I
BATH TUB ADDRESS
SHOWER CITY TEL.NO.
e
LAVATORY CONTRACTOR
SINS ADDRESS /
DISHWASHER CITY TEV N6. (�
LAUNDRY TUB CONTRACT 'S // �y STATE
REGISTRATION NO. / /1 COUNTY ❑
CLOTHES WASHER
DISTR IC GROJ f IPV READY FOR INSPECTION
WATER HEATER 1,j1�
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
$1.00 PER ITEM DATE INSP f,OR'S S URE
7j- OR FIXTURE $- �e UNDER SLAB WORK
PERMIT S 1100
ROUGH PLUMBING ---
-_
GAS PIPING ti
TOTAL FEEloo
GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT'THE ABOVE IS: CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OftGAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA. OR THAT I AM THE LEGAL 0 NE OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY. 1%,
SIGNATURE
OF PERMITTEE FINAL I ��
VALIDATION ROBERT A. W OD,
SUPERVISING MECHANICAL ENG'R
CK. M.,O. CASH
20t FEB 14 3 A 3 00 �
7MG157A ICE 81713)-11/76
-r'
'.- APPLICATION FOR-PLUMBING PERMIT
r,
1
BUILD] G D SAFETY DIVIS]
` FOR APPLICANT TO FILL IN(PRINT ORTYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE' ADDRESS f6a&&CaV d
WATER CLOSET LOCALITY
BATH TUB NEAREST
CROSS ST. 92of-ddeA4 IA-)of
SHOWER OWNER ` F
MAIL
LAVATORY ADDRESS
SINK CITY r. EL.NO. ?
DISHWASHER CONTRACTOR i 0
CLOTHES WASHER
ADDRESS q
SWIMMING POOL RECEPTOR .44
CITY �� TEL.NO. ,�
LAWN SPRINKLER SYSTEM
STATE LIC.
WATER HEATER LICENSE NO. CLASS
DINO. G GROUP /E�GAS SYSTEM OUTLETS
OPEE1 61
5 R SYSTTM
IN
WASTE APPROVAL V
INSPECTION RECORD u
_ In
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
Plan check applicant `
APPROVALS DATE INSPEC 'S.SIGNATURE
Name
UNDER SLAB WORK
Address ZA- e.i ' ROUGH PLUMBING
City T.I.No. GAS PIPING
I HEREBY ACKNOWLEDGE.TH I HAVE READ THIS APPLICATION AND.STATE GAS VENT
THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT IAM THE GAS TEST
LEGAL OWNER OF,AND INTEND TO RESIDE IN TH BOVE DESCRIBED RESIDENTIAL
PROPERTY. UTILITY CO.NOTIFIED
SIGNATUREry '�
OFPERMITTE r FINAL
PLAN CHECK VALIDATION _1 1 C. M.Q. CASH, PERMIT VALIDATIONS M.O. CASH
0 7 6 ti AUG 9 51 D • 1 6.5 0
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