HomeMy Public PortalAbout9525-9527 WORKMAN AVE_Plumbing__ DEPARM: f OF L'OUNW LWGnVMR
PLUMBING 1
pIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
OOIINM OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER .ADDRESS ,r2,�-2 , -� r9
FO_R APPLICANT TO FILL IN LOCALITY
77 C`ol
BUILDING 0'/ j `% CROSS SNEAREST.
ADDRESS [ �� ✓ r� �2, Qs
^ Fti.,�, DISTRICT NO. GROUP ZONE PERMI NO.
LOCALITY py� 1 !C 'J_GaQ/ :iL C I cC :X7
I 'e,;_;
� Q7
NEAREST
ST. ` �'4 R�ECFIJI BY Ready for Inepeetio0 v�OD/TE 181 ED
OWNER . "y'1 i..�1cla !'�. ��,�L�_ r' /� / .f / s'`moi el
MAIL INDUSTRIAL✓r
ADDRESS WASTE APPROVAL
CITY TEL.NO. INSPECTION RECORD
PLUMBER Q`
ADDRESS
CITY r.j ' e e• TEL.N0:
/ J�N''�A/�TATE 1�/ /1 V/? �, �YC�J f��, R. hr.
LICENSE NO. �S`G,7 *F^/�.T I"LQOUNTY Pel. n a
PERMIT FEES �. Z
4UMBER TYPE OF FIXTURE OR ITEM FEE (e�
WATER CLOSET(TOILET) Q 0.80 $ D
O
BATH TUB Q 0.80
SHOWER Q 0.80
LAVATORY(WASH BASIN) Q 0.80
KITCHEN SINK Q 0.80 Y
LAUNDRY TUB OR TRAY Q 0.80
SLOP SINK Q 0.80
FLOOR SINK Q 0.80
FLOOR DRAIN Q 0.80
DISHWASHER
DRINKING FOUNTAIN Q 0.80
URINAL Q 0.80 R
GAS SYSTEM......::_._OUTLETS Q 1.00
i WATER HEATER Q 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
__T
UNDERSLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TGAS PIPING
TOTAL FEE �J /av _lof I' �C'�• - -
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES �+
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED 7 i
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
ER OFTTHE OF CALIFORNIA
RESIDENTIAL PROPERTY OWN UTILITY CO.NOTIFIED
SIGNATURE // 5,�. •-�� w
OF PERMITTEE...�,®_.. .P._... . ._..1 }_.aL:.x_.._.:LI:� FINAL d � 1 n• J '
7GA0G7 DBS 17