HomeMy Public PortalAbout9567 WOODRUFF AVE_Plumbing__ 76A667-CE.#817 2-62 TEMPLE- `+Cs> HTY - 5
APPLICATION FC R', PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT' OF COUNTY ENGINEER'
BUILDING AND SAFETY DMSION �n �
JOHN A.LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1,25 ADD ES 1(I d V
SHOWER 1.25 CITY C O
LAVATORY 1.25 CONTRA
SINK 1,25 ADDRESS
111127,
DISHWASHER. 1.25 CITY �� ..NO. A /{
CONTRACTO S COST
LAUNDRY TUB 1.25 REGISTRAUON NO.
CLOTHES WASHER 1.2.5 DISTRICT N.Q. GROUP NE PR SED BY
WATER HEATER 1.50 L
GAS SYSTEM. OUTLETS 1'50 INDUSTRIAL,
I L,
OUTLETS OVER 5 PER SYSTEM .w INSPECTION 1RECORD (�
V c S 6'
A
.y
APPROVALS DATE INSPECTOR'S�SIGNATUNE
PERMIT Z 00 UNDER SLAB WORK 1 y _ f
ROUGH PLUMBING J
TOTAL FEE GAS PIPING -
1 HEREBY ACKNOWLEDGE THAT i HAVE 'READ THIS APPLICATION GAS VENT r ems"'
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY -
WITH ALL COUNTY ORDINANCES AND STATE• LAWS REGULATING -HOT WATER HEATER ?•:`L''°'�1"`A��
PLUMBING.. -
! HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES .•�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
GAS TEST I °y
CALIFORNIA OR THAT t.A THE AL OWNER OF,AND'INTEND TO
RESIDE IN.THE ABOVE RI RESIDENTIAL P .E •UTILITY CO.NOTIFIED
V
SIGNATUREOF PERMITTEE. FINAL
VALIDATI .ROBERT A!W&D
CK. 'M.O. CASH SUPERVISING MECHANICAL ENG'R
co
U16-03.0 9 OG6 AUG 25 s D 3.5