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Home My Public Portal About9668 WEDGEWOOD ST_Plumbing__ 6G%l,J� I 76 A667-F-CE 817 7-69 APPLICATION FOR PLUMBIN PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING / JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS o COLEMAN W. JENKINS. SUPT. OF,BUILDING LOCALITY FOR APPLICANT TO FILL IN(PRINT OR TYPE) NEAREST CROSS ST. L?Z. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS SHOWER 1.50 ,CITY. �. SEL. NO. LAVATORY 1.50 CONTRACTOR SINK 1.50 ADDRESS DISHWASHER 1.50 CITY TEL. NO. CLOTHES WASHER 1.50 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.50DI�BTR'ICT NO. GROUP E O SSED BY LAWN SPRINKLER SYSTEM 2.00 V: ©6) WATER HEATER 1.50' INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD OUTLETS OVER 30 5 PER SYSTEM ry r �D �.,/,}�� (^W f tt/;.rp'�,t_edy/A!c G✓Old) ; _IWl'J 1-D/wts•• yg!s 1 N Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE S 2 0.0 TOTAL FEE cc APPROVALS DATE INSPECTOR'S SIGNATURE Plan c�eck applicant UNDER SLAB WORK Name, ROUGH PLUMBING Address GAS PIPING GAS VENT City, Tel. No.. HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATIC LAWS REGULATING GAS TEST � J PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/'OR UTILITY CO.NOTIFIED LICENSED. AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN.THE ABOVE DES BED RESIDENTIAL PROPE Y: FINAL I SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL R. OF PERMITTEE -45 PERMIT VALIDATION CK. M.0. cases . PLAN CHECK VACIDAtION CK., M.O. CASH l; f', 6 1 1-:8:ti•••JUL31. 5 0 350-- 1 8A7 D85.1-17 B-SS APPLICATION FOR PLUMBING PERMIT 7. DIVISION OF BUILDING AND SAFETY - IV' 1 Department of.County Engineer County Of LOS Angeles BUILDING 1, / WM.J.FOX, COUNTY ENGINEER ADDRESS (99-41 (r(/ CASSATT D.GRIFFIN,SUPT OF BUILDING r LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. OWNER &'t/ �P.A D,ISTRICT:N!:O.j GROG ZONE READY FOR INSPECTION MAIL I r ) ADDRESS I 'CITY TEL.NO. INDUSTRIALWASTE APPROVAL PLUMBER INSPECTION RECORD ADDRESS • G/�Pif Wi y 9p �� '�` �� t /TS / gS/ gg 6!" CITY + Gam' 'rEL.'NO. LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM. FEE' WATER CLOSET (TOILET) BATH TUB l SHOWER L.A wA-cr I�i} LAVATORY (WASH BASIN) / -in w�+e KITCHEN SINK DISHWASHER LAUNDRY TUB OR TRAY CLOTHES WASHER TOTAL NO. n O.aO a� APPROVALS �^ GAS SYSTEM OUTLETS @ 1.00 DATE INSPECTOR'S SIGNATURE V� ' U14DER'SLAB WORK WATER HEATER a 1.00 O PERMIT ROUGH PLUMBING Q �^� _ 1 00g .I � GAS PIPING. � TOTAL FEE ' GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOTWATER.HEATER AND STATE THAT THE .ABOVE IS -CORRECT AND AGREE TO 'COMPLY " WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES + PLUMBING. y 1 .HEREBY CERTIFY THAT I .AM PROPERLY REGISTERED AND/OR ' GAS TEST p �- LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE ./w�f FINAL WILLIAM J.FOX.COUNTY ENGINEER VALIDATION R.A.WOOD.CHIEF PLBG.INSPECTOR . . �0 6 9 7 'LNO JUN 14. 3 ;. 1 1.0 0 .