HomeMy Public PortalAbout9502 LIVE OAK AVE_Plumbing__ Eg.17 12.54 ■
DAPPLICATION FOR PLUMBING PERMIT
B�•17
DIVISION OF BUILDING AND SAFETY 1
Department of County Engineer
County of Los Angeles BUILD
NG
WM.J. FOX, COUNTY ENGINEER ADDRESS /
CASSATT D. GRIFFIN, SUPT OF BUILDING -
LOCALITY
FORAPPLICANT TOFILLIN NEAREST R ECROSS � o �t
OWNER
4MIL NO. I GROUP 7024E READY FOR INSPECTION
MAIL L'� '/
ADDRESS �.. - V J
INDUSTRIAL
CITY TEL NO 04W WASTE APPROVAL -
PLUMBER - INSPECTION RECORD
ADDRESS (.� D AJ y� -
CITY 0WA)&7TEL NO. 9
LICENSE NO AL 96
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
_ LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO @ 0 Bo APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM-1-3--OUTLETS @ 1 00
t�0
WATER HEATER @ 1 00 UNDER SLAB WORK -y
1
ROUGH PLUMBING e ,YIr.PERMIT t I 1 00 GAS PIPING
TOTAL FEE 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 \\
PLUMBING GAS TEST
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REOUIRED BY LOS ANGELES COUNT AND STATE OF UTILITY CO NOTIFIED
CALIFORNIA OR THAT 1 AM THE LEGAL OWN OF THE ABOVE
DESCRIBED RESIDENTIAL PRO RTY.
SIGNATURE
OF PERMITTEE FINAL ,a
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
AC01 7 5_-OS.-M-21 3 9.4 0 m
By
DEPUTY ,