HomeMy Public PortalAbout9428 WOODRUFF AVE_Plumbing__ 78A887-CE#817 12-84
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-APPLICATION FOR PLUMBING PERMI
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION r
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JOHN A. LAMBIE. COUNTY ENGINEER RESS 7
COLEMAN W. JENKINS,SUPT OF BUILDING ALITY
FOR APPLICANT TO FILL IN RESTSS ST. '�
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25
AIL
BATH TUB 1,25 ADDRESS
SHOWER 1.25 CITY r TEL. Nf,f l" !jam
LAVATORY 1.25 CONTRACT
SINK 1,85 ADDRESS ,g f", .
DISHWASHER 1.25 CITY TEL.
LAUNDRY TUB 1.25 REGISTRATION NO. �� COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT N GRO NEXEGSEDWATER HEATER 1.50 I�N�Ci
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
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APPROVALS DATE INSPECTAR'S SIGNAATURE
PERMIT $ 2 00 UNDER SLAB WORK + ,� ' `` / ^`
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ,ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION �•.�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER { W�
PLUMBING. • r
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 A THE EGAL HER OF AND 1 TEND TO
RESIDE IN,THE ABOVE D RI %RRESIDENT L PR RTY� UTILITY CO.NOTIFIED �.
SIGNATURE
OF PERMITTEE _• -c- FINAL
i/A A
VALIDATIO�CADSHROBERT A.WOOD
CK. M.O. SUPERVISING MECHANICAL ENG'R
LICO 8 5 7'8% JAN 6 5 0 3.50N