HomeMy Public PortalAbout9556 WOODRUFF AVE_Plumbing__ 76A887-CE#817 4-87 /��r �I/ /'C� •
APPLICATION OR PLU BIND PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS `7
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAR SSCROSST. (J
NUMBER FIXTURE OR ITEM EACH FEE
OWNED
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINS 1.25 ADDRESS f� 7 �
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 STATE LIC
LICENSE NO. Ai � CLASS
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZO E PROC S D BY
WATER HEA .50 0 L
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL v
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY.ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HERESY CERTIFY--THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENT AL ROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEB�
FINAL
/--VALIDATION JACK R. ALLEN
V.
M.0.
CASH SUPERVISING MECHANICAL ENG'R.
L` 4 1 0 2to APR 4. 5D x.50'"
1