HomeMy Public PortalAbout9712 LIVE OAK AVE_Plumbing__ e . APPLICATION
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D88.17 1244-1 -
D6hSION OF BUILDING AND SAFETY l;
Department of County Engineer
County of Los Amgele8
BUILDING 9712 Live Oak
WM. J. FOX, COUNTYTY ENGINEER ADDRESS
' CASSATT D. GRIFFIN, SUPT OF BUILDING Temple Cit
LOCALITY P Y
FOR APPLICANT TO FILL IN NEAREST-
OWNER
EAREST-
OWNER Mr. Schwartzman
DISTRICT NO I GROUP ,ME READY FOR INSPECTION
MAIL
ADDRESS 5
Tr�
CITY TEL NO
Je 2729 WASTE APPROVAL:
PLUMBER Merlin L, Geddes INSPECTION RECORD
ADDRESS 51 N Third Ave 7� Q ,q'I ( ►A.- a I�� ,� ,
CITY Arcadia] TEL NO D �7O !-81
LICENSE NO 7923�J 1 1 T--1 I-A c, >v1J cl&F7 In Gama• P G,('_i
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) 5 0
BATH TUB OU
SHOWER
LAVATORY (WASH BASIN) 30
1 KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
1 CLOTHES WASHER 0
TOTAL NO @ 080 APPROVALS
1 DATE IN PECTOR'S SIGNATURE
GAS SYSTEM OUTLETS @ 1 00UNDERSLAB WORK p
,��
1 WATER HEATER @ 1 00 + � Z �S � o���G/�w„_.� -
ROUGH PLUMBING C 2'i(SS OJL..L_ +
PI'RMIT S I 'I 1 OO GAS PIPING
TOTAL FEE 70 GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER 1 I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING ,
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST Ib b
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO NOTIFIED
CALIFORNIA OR THAT 1 M THE GAL OWNER OF THE ABOVE
DESCRIBED R6SIDENTIA OPERTY
SIGNATURE
OF PERMITTEE FINAL 4 tt
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
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By
DEPUTY