HomeMy Public PortalAbout9430 WOODRUFF AVE_Plumbing__ 76 A 667- CE 817 7-69
APPLICATION FOR PLUMBING PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LO
9430
Ci
FOR APPLICANT TO FILL IN PR NT OR TYPE CRG�SY. a �• Blvd,
NUMBER FIXTURE OR ITEM EACH FEE
OWNEA Snrpnqnn
WATER CLOSET 1.50
NAM
BATH TUB 1.50 Woodmff
SHOWERI1.50 clTyPemple QJTEL. NO.
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY TEL. NO. _
CLOTHES WASHER 1.50 STATE LIC 2-7
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50
DISTRICTNCI - GR P I ZONE PR D BY
LAWN SPRINKLER SYSTEM 2.00 ___*1
WATER HEATER 1.50 p O INDUSTRIAL
GAS SYSTEM OUTLETS 1.50 INSPECTION8 ORD 8
5 PERE SYSTEM .30
.
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 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
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AB REQUIRED BY L08 ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM TH E L OWNER OF AND INTEND TO
RESIDE IN,THE ABOVE DESCR D ENT PROPERTY. FINAL Q
SIGNATURE JACK R. ALLEN, SUPERVISING CHANICAL ENG'R,
OF PERMITTEE
PERMIT VALIDATION K. M.O. CASH
PLAN CHECK VALIDATION K. M.O. CASH
( r46 o4� APR22 5 D 3.50- CQ
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