HomeMy Public PortalAbout10017 LA ROSA DR_Plumbing_1/30/1956_water fixtures 960.66' APPLICl TION FOR PLUMBING PERMIT
DBS-1712-BC
f�SIQN OF BUILDING.AND SAFETY
DepDxtment of County, Engineer
County, of Los Angeles. BUILDING 771
WM,J. FOX, COUNTYENGINEER �
CASSATT D. GRIFFIN. SUPT of BUILDING
FOR APPLICANT TO FILL IN N.AAR st
I-
OWNER q�' Ll7 DISTRICT NO. -GROUP •I Z ONII'EL^ (.REAOY FOR INSPECTION
MAIL -/ / /,), T
Lt�f fO�t.//�� ry -5—
ADDRESS 1
CITY EL.N�� /4 367o7j INDUSTRIAL
WASTE APPROVAL
PLUMBER - INSPECTION RECORD,
/.
ADD Ss
CITY •�/Y I .^y� TEL. NOV-9—,5/
�. LICENSE NO /! OI ' '•�/Jri:O7m/1 �J ./�'_
NUMBER TYPE OF FIXTURE OR'ITEM q FEE
�G WATER CLOSET (.TOILET) =�QQ /'•
BATH TUB
J SHOWER
O[J LAVATORY (WASH BASIN)
KITCHEN SINK �„ 1 ✓
DISHWASHER -
LAUNDRY TUB OR TRAY
CLOTHES WASHER
IL—
TOTAL NO. ®- o+ev Do •APPROVALS
40 WORK INSPEGTOR*S SIGNATURE
GAS SYSTEM —OUTLETS (i(J 1.00 _
1 WATER HEATER @' 100 V6 UNDER SLAB WORK
ROUGH PLUMBING c ^ l ��
/} PERMIT g 7 OO GAS PIPING
P, I TOTAL FEE � tl Q GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ,ORDINANCES AND STATE LAWS REGULATING _ PLUMBING FIXTURES
PLUMBING. .. ,
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GASTEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF If
"CALIFORNIA OR THAT I AM THE
y LEGAL OWNER OF THE ABOVE - UTILITY CO. NOTIFIED .
li iGNAESCRIBED RESIDENT yA` PROPEL . ; ! -
51 G NATU RE / .I C/V/I(//J
OF PERMITTEE _ FINAL
JAM J, FOX. COUNTY ENGINEER VALIDATION I•
2 2 8 3"e JAN.3 0 3 1 1 .0 0
- DEPUTY .