HomeMy Public PortalAbout8740 WENDON ST_Plumbing__ )BS-17 10-59 APPLICATION FOR PLUMBING PERMIT
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DMSION OF BUILDING'AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING �7r
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS 8 /
CASSATT D.GRIFFIN,SUPT OF BUILDING Yf( JJ
LOCALITY _ R6(JLtr(tl
FOR APPLICANT TO FILL IN NEAREST
/ CROSS ST.
OWNER �I.('/!, DISTRICT NO. GROUP ZONE I READY FOR INSPECT1ON
MAIL
ADDRES 7 (o ¢ /CJ
CI TEL.NO. T 4��0 S INDUSTRIAL
WASTE APPROVAL
PLUMBER , INSPECTION RECORD
ADDRESS /L/10/7 p 3-i3�s'7 az 17 vlvlv w4 e-A2 Aea'T
CITY TEL.NO. -�I Iff"O IE12 lA,/° QAf,,eiTo-eo ,z, se.—,.,gr:- '
LICENSE NO. I I 6-3 _ PJ�f9 Re6f,@r',O°•
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ '$1.00 S a j 0 /l A,
BATH TUB @ $1.00
SHOWER @ $1.00 I
LAVATORY (WASH BASIN) @ $1.00 0
KITCHEN SINK @ $1.00 v _���� G �IJ' /v d 0ry
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00 --1'-'7 01N WA-P7�7—,-- IJ-,e
1 CLOTHES WASHER @ $1.00 -• �lr'T-�` ' !��.-�Jk/3�e.� ��7/
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
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APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER W 0W RK /3i
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE /Z OC GAS VENT
I HEREBY ACKNOWLEDGE THAT I..HAVE.READ THIS APPLICATION HOT WATER HEATER a-,t�
AND STATE THAT THE ABOVE 15 'CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
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 P§RPE
SIGNATURE
OF PERMITTEE FINAL
'OHN A.LAMBIE,COUNTY ENGINEER VALIDATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
CR M.®. CASH
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