HomeMy Public PortalAbout9661 WOODRUFF AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS ��n (�Ca�C'l fT
FOR APPLICANT TO FILL IN LOCALITY
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BUILDING /�
NEAREST
ADDRESS CROSS ST. 1 \l {-"S tII
DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY
NEAREST4tr 12
CROSS ST. (RECEIVED BY Ready for Inspection �(DATEJIISSUED
OWNER - d-
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MAIL INDUSTRIAL, I
ADDRESS WASTE APPROVAL
CITY y TEL.NO. INSPECTION RECORD
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PLUMBER �•
ADDRES G7 Cf�
CITY / L 'TEL.NOL/Ir �a
LICENSE NO. r l r �1 ❑COUNTY
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PERMIT FEES a
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NUMBER TYPE OF FIXTURE OR ITEM FEE ut
WATER CLOSET(TOILET) @ 0.80 $ fG
BATH TUB @ 0.80 L3
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80 C r,
KITCHEN SINK @ 0.80 7 10
LAUNDRY TUB ORTRAY @ 0.80 {/
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM....... ....OUTLETS @ 1.00 U
WATER HEATER @ I.00 GU
MISO LLANEOUS
L,70 APPROVALS
>� G DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK /' p
PERMIT 1 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING Reg /-/S- 6.0t
1 HEREBY ACKNOWLEDGE THAT I HAVE READ T IS APPLI- GASVENT r{J �5��
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER 7 ); II raj 1 ,
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES -171
AND%OR LICENSEDERE Y CERTIAS REQUIRED BYTHAT I AMPSTERLOS ANGELES ROPERLY (COUNTY GASTEST Jam-/A//A-/—Jam4—/ �Sxg7w(/
AND STATE OF CALIFORNIA OR THAT 1 THE LEGAL OWN.
ER OF THE ABOVE DESCRIBED RESIDEN A PROPERTY UTILITY CO.NOTIFIED 'Jn
OF
PERMRITTEE. �� �. ._. _. _. r �C` �J'79T7/'I��
FINAL
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