HomeMy Public PortalAbout9855 WENDON ST_Plumbing__ 7GA567 (CE-817)•- 5/73 �.
.APPLICATION FOR-PLUMBING. PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: fA
U DRESS
DDRESS
HARVEY T. BRANDY, COUNTY ENGINEER
ocAUTvFOR APPLICANT TO FILL IN (PRINT OR TYPE) EAREST e7 _�/ROSS ST: C9X C
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1,75 OWNER
MAIL
BATH TUB 1.75 ADDRESS •-
SHOWER 1,75 CITY ' �y�' TEL:'NO.f. an
LAVATORY 1,75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY TEL. NO'.
CLOTHES WASHER 1.75 STATE LIC _
SWIMMING POOL RECEPTOR 1,75 LICENSE NO-e--:21y(�a CLASS e-1
DISTRICT NO. GROUP I Z.QNE OC ESS D BY
LAWN SPRINKLER SYSTEM 1,75 ^a9 1-
1
WATER HEATER 1,75 INDUSTRIAL
WASTE APPROVAL.
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM .30 O
• U
• � W
CL
co
Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE .INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. NO.
HOT WATER HEATER rn
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION •.pt
AND STATETHAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL .COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO _
RESIDE IN THE ABOVE DESCRIBED (DENT PROPERTY. FINAL9 c
V ,
SIGNATU RE �Q��/�
OF PERMITT i
IIIIIIIII PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
✓t . Ut-fES �U 5 0 6.5 O A�16