HomeMy Public PortalAbout9222 WOODRUFF AVE_Plumbing__ 76A667-CE#817 6-65 Jlf;l� 38B2
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APPLICATION FOR PLUMBING PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER.
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 9222 Tt00DOf rtj1
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY TWO CITY
FOR APPLICANT TO FILL IN NEAREST INCINIT,& &VEM
CROSS ST.
NUMBER FUTURE OR ITEM EACH FEE
OWNER Vjj�- �
WATER CLOSET $1.25
BATH TUB 1.25 . ADDRESS 9 222 WOOMUFF
1 SHOWER 7 1 50 CITY TILE CITE TEL. NO. 286-8047
LAVATORY 1.25 CONTRACTOR TER:Y TILS
SINK 1.25 ADDRESS 52000�1�7�1a WASEIIO'GTON BLVD.
DISHWASHER 1.25 CM0a ANG IM TEL. NOXMl-1863
STATE LIC
LAUNDRY TUB 1.25 LICENSE NO.105264 CLASS
CLOTHES WASHER 1.25 DISTRICT NO. GR Z E P D B
WATER HEATER 1.50 5-08 �.
GAS SYSTEMOUTLETS 1.50 INDUSTRIAL a
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD V
O
H
V
W
a
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 0 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
LRESIDE
LL COUNTY ORDINANCES. AND STATE LAWS REGULATING HOT WATER HEATER
G.
EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
NIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
N,THE ABOVE DESCRIBED R IDENTIAL P PERT UTILITY CO.NOTIFIED
URERMITTEE
FINAL
VALIDATION
CK.
M.0. CASH
L 4 8_.3 9 tg FAY 2 7, 5 0 3.50- q