HomeMy Public PortalAbout9729 WEDGEWOOD ST - Plumbing 7BAPPLICATION FOR PLUMBING PERMIT
DBS.17 9•BS 17 7
DIVISIOIN OF BUILDING AND SAFETY 1
Deparbnent of County Engineer.
County of Los Angeles BUILDING
WM.J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT OF BUILDING
LOCALITY al ty
FOR APPLICANT TO FILL IN NEAREST
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OWNER' RaY Bathke DISTRICTMAIL
N GRO NE READY FOR INSPECTION
TEL
ADDRESS
CITY .NO. INDUSTRIAL
WASTE APPROVAL
.PLUMBER HART, (PAT.)T) ST A N1)T,FY_ TNC'. INSPECTION RECORD
ADDRESS 2O1 .ltl o Hoyt _(�� �I`aG �T_�7'�h' `'.'�I'-t�-� Rv�("v�'• ��
CITY TEL.NO. FO 01559—
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LICENSE NO. 1492 6
NUMBER TYPE OF FIXTURE OR ITEM FEE •- I --
L^a.�AG7 �3 i•� ~'e_y41 ,L,,AQP
WATER CLOSET'(TOILET) $ Q :. �
1 BATH TUB ®v
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK .
DISHWASHER
LAUNDRY TUB OR TRAY J
CLOTHES WASHER 01)
TOTAL NO. @ 0.e0 APPROVALS
DATE INSPECTORS SIGNATURE
1 GAS SYSTEM OUTLETS @ 1.00 R
1 WATER HEATER ® 1.00 UNDER SLAB WORK
ROUGH PLUMBING �f" .-•�
PERMIT- - _ S 1 00 -
GASPIPING '
TOTAL FEE 11 OO 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 A
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA OR THAT I AM THE LEGAL WNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESf?'ENTJAL PROPRTY
SIGNATURE
OF PERMITTE FINAL
WILLIAM J.FOX.COUNTY ENGINEER. VALIDATION R.A.WOOD,CHIEF PLBGm INSPECTOR
JC�5 9 7 7- m#Y 1.4 3 -1 1 .0 0
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