HomeMy Public PortalAbout9626-9628 LAS TUNAS DR_Plumbing__ DOS-17 3-33 APPLICATION FOR PLUMBING PERMIT 1
DOS-17
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles
WM.J. FOX, COUNTY ENGINEER BUILDING w
CASSATT D. GRIFFIN, SUP __ADDRESS
T of BUILDING ^�-
LOCALITY 1 C f� ry,r-
FOR APPLICANT TO FILL IN -NEAREST . �-
T pp i yr CROSS ST. C. L.
OWNER L�t,. - � 'r. N � � /
DISTRICT NO. GROUP ?ONE READY FOR INSPECTION
MAIL
_ADDRESS .�-� f y ` __�
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER �... W q 4 �" INSPECTION RECORD
ADDRESS b� `�G
CITY �/ A P TEL NO�4 94
LICENSE NO.
NUMBER TAE OF FIXTURE OR ITEM FEE
� 1
WATER CLOSET (TOILET)
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK l/':� LAe"VL �•# IM 4,!'- e:7, l'.tP•
DISHWASHER t' \ <, a
LAUNDRY TUB OR TRAY•
CLOTHES WASHER
A
�� �o Q2 1?��-C-ICS RSa }•� C'-�r
1l A, _
TOTAL NO. @ 0.80
G7v t_-Q) APPROVALS
DATE INSPECTORS SIGNATURE
-GAS_SYSTEM OUTLETS @ 1.00 ° -
UNDER SLAB WORK
WATER HEATER @ 1.00
PERMIT S 1 00 -
ROUGH PLUMBING
GAS PIPING
TOTAL FEE L
GAS VENT
I HEREBY ACKNOWLEDGE THAT I 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 I
PLUMBING. - 1�-
i HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST `I A
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENTI RO_F
SIGNATURE
OF PERMITTEE ti FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION R.A. WOOD, CHIEF PLBG. INSPECTOR
4;04 8 0 C- JUN 16 3 6.20
may/
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