HomeMy Public PortalAbout4938 MCCLINTOCK AVE_Plumbing__ DOB-17 12-B'� .� APPLICATION FOR PLUMBING PERMIT
BS.I7
DIVISION OF BUILDING AND SAFETY
Department of Couaty Engineer
County of LOS AIIgales BUILDING
WM.J. FOX, COUNTY ENGINEER ADDRESS d' /�L /�✓�e `(�
CASSATT D.GRIFFIN.SUPT OF BUILDING
FOR APPLICANT TO FILL IN NEARS TYj
ROSS ST.
OWNER ei�MAIL DISTRICT NO. GROUP ZONE READY FOR INSPECTION
ADDRESS /eJ O GJ/y 7 :91—/ S I I o
C TY �� O �r/ INDUSTRIAL
TEL. NO. d�f^ WASTE APPROVAL.
PLUMBER INSPECTION RECORD
ADDRESS
CITY TEL. NO..
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) 3
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK P
DISHWASHER V/� 6 5 eV
. j
LAUNDRY TUB OR TRAY y1f
CLOTHES WASHER G....
e /"Ii ,. JE_1,C.�
J� TOTAL NO. @ 0.a0 0® APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM—Z—OUTLETS @ 1.00
UNDER SLAB WORK
WATER HEATER @ 1.00 406
ROUGH PLUMBING
PERMIT S 1 00 GAS PIPING -/v
TOTAL
TOTAL FEE 00 GAS VENT ,
HEREBY ACKNOWLEDGA THAT 1 HAVE READ THIS APPL ATION 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.
1 HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO.NOTIFIED g B
CALIFORNIA OR THAT I AM THE-LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE "',_ FINAL
WILLIAM J.FOX,COUNTY ENGIN ATIO
To 3 :. 3 s^ 'HU 3 3 'T.� 0 m.
BY
DEPUTY
® n� N.N A.0