HomeMy Public PortalAbout9706 WEDGEWOOD ST_Plumbing__ 7111667-CE817 MO
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APPLICATION FOR PLUMBING PERMIT �
DEPARTMENT OF COUNTYGENGINEER
BUILDING AND SAFETY DIVISION BUILDING _ /
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS Q
WILLIAM A.JENSEN.SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST '
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATEB CLOSET KAIL SS
BATH TUB
CITY TEL.NO.
SHOWER
CONTRACTOR '�' y
LAVATOSY
SING ADDRESS 'C
DISHWASHER CITY TEL. No �,��, �r 7
CO
Occowl2i"t-4-5 (}. STATE
LAUNDRY TUB REGISTRATION NO. / D COUNTY
CLOTHES WASHER DISTRICTND,. I GROUP ZONE PRCSSSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INMCTION RECORD
a
O -
o .
as
G OS FJxl'QA $
APPROVALS DATE INSPECTOR' SIGNATURE
PERMIT !2L
UNDER SLAB WORK s
TOTAL FEE ROUGH PLUMBING C .! r2rJA
GAS PIPING r 4
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR TH T i AM THE LEGAL OWNER OF H BOVE
DESCRIBED RESIDE PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE
FINAL
�r z VALIDATION ROBERT A.WOOD.
s
11.0. cum SUPERVISING MECHANICAL ENG'R
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'APPLICATION FOR PLUMBING PERMIT 1
DBS-,7 8.65
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles B.0 I LD I NG
WM.J.FOX, COUNTY ENGINEER ADDRESS �� C
CASSATT D.GRIFFIN,SUPT OF BUILDING _
LOCALITY
FOR APPLICANT TO FILL IN CROSS ST. • r*+Is'� Ll�-P�
T.
OWNER (/� ` til l�4� DIST)}ICr T NO. GROUPMAIL I ZONE READY FOR INSPECTION
ADDRESS �7
INDUSTRIAL
CITY TE NO. WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESStot A4
e e --
e.lr
CITY // fl TEL.NO. Q;
LICENSE NO.
NUMBER. TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $ b®
BATH TUB O C7
SHOWER 010
LAVATORY (WASH'BASIN)• C
KITCHEN SINK C
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER ,
TOTAL No.' I1 v APPROVALS
DATE INSPECTOR'S SIGNATURE.
GAS SYSTEM ,OUTLETS .@ 1.00 -
WATER HEATER 1.00 ® UNDER SLAB WORK LLAAA
ROUGH PLUMBING �1 &
PERMIT S , 1 00 .+
GAS PIPING
TOTAL FEE ®0 GAS VENT
11 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.
! HEREBY -CERTIFY THAT I AN PROPERLY REGISTERED.ANDjOR GAS TEST Z
LICENSED AS REQUIRED BY LOS NGELES COUNTY AND STATE OF 4
CALIFORNIA OR THAT I AN y LEGALOWNER OF THE ABOVE UTILITY CO.NOTIFIED y
DESCRIBED RESIDENTIAL PRO E X `Q A
SIGNATURE
OF ERM' ITTEE FINAL I C9 �� �F Chi+••�'
WILLIAM J.FOX,COUNTY ENGINEER VALIDATION R.A.WOOD,CHIEF PLBG.INSPECTOR
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