HomeMy Public PortalAbout9711 WEDGEWOOD ST_Plumbing__ n
5,17ABs�. APPLICATION FOR PLUMBING PERMIT 1
DIVL ION OF BUILDING AND SAFETY
"Deportment of County Engineer ,
County of Los Angeles BUILDING '
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS i
CASSATT D,GRIFFIN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER DISTRICT NO. GRO]►PNE RE FOR INSPECTION
MAIL IJJJJs�"'����JJ *x�
ADDRESS n CA
INDUSTRIAL
CITY WASTE APPROVAL
PLUMBER INSPECTION RECORD
.ADDRESS Q '�fo
CITY TEL.NOU o!—g 72 7
1'Ic_-r a �LR-�• .--
LICENSE NO. .7
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 OO
HATH TUB @ $1.00 tv Q
SHOWER @ $1,00 ®V
LAVATORY (WASH BASIN) @ $1.00 b
KITCHEN SINK @ $1.00 O
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00' O D
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00 D
GAS SYSTEM @ $1.00
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APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK & {� qq
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS VENT
I 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, ^^ `
1 HEREBY CERTIFY THAT .1 AM PROPERLY REGISTERED AND/OR GAS TEST U +fo �C ly.•e --
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED d e
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE FINAL ZS
OHN A.LAMBIE.COUNTY ENGI ER VALIDATION - ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
CB. M.0. CASH
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,� 3 s 2 ' mAR 7 3 1 2.0 0 ID