HomeMy Public PortalAbout9358 LOWER AZUSA RD_Plumbing__ '*A8v!
DBS•t7'8•S3 APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
4 County of Los Angeles
WM.J. FOX, COUNTY ENGINEER BUILDING
ADDRESS % S §Ag*(jAf 44
CASSATT D.GRIFFIN,SUPT OF BUILDING
FOR APPLICANT TO FILL IN NEARE sT. Crw ,
OWNER /�i DISTsRRIICTMAIL Ll
GROUP N� READY FOR INSPECTION
ADDRESS % �.��(� AK/�`" ��D`Sa `� -
7—e/
�s `/Q i(ab INDUSTRIAL
CITY / yryyl G./ IG/TEL.NO'. WASTEAPPROVAL
PLUMBER d 0 M., s 21"1" INSPECTION RECORD '
ADDRESS // G k!
CITY Zr4 (1 71
LICENSE NO. 46 / 0 D
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. 0.80 APPROVALS
AS SYSTEM OUTLETS �
DATE INSPFCTOR'S SIGNATURE
G1.00 � �'•
1
WATER HEATER @ 1. O ® UNDER-SLAB.WORK
ROUGH PLUMBING
PERMIT. g 1 Ou
G.QJ
' GAS PIPIN ,IEavr ,
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1-HAVE READ.THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBINGFIXTURES
PLUMBING. ! _
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST- O 36 S G�JLL�" -•- ^'
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND'STATE OF UTILITY CO.N071FLED 1� 4d.b Q `
CALIFORNIA OR THAT 1 AM. THE LEGAL OWN OF THE ABOVE
DESCRIBED RESIDEN
=ERTY.� -SIGNATURE //��//OF PERMITTEE ' FINAL
WILLIAM J.FOX,COUNTY ENGINEER VALIDATION R.A.WOOD,CHIEF PLEG. INSPECTOR
:AP 7 9'6 6 ; SEP 14 3. 8.6 0 �