HomeMy Public PortalAbout9002 WOOLLEY ST_Plumbing__ 'eABe,
3.98 APPLICATION - FOR PLUMBING PERMIT
DBS•17 •7
DIVISION OF BUILDING AND SAFETY 1
Deportment of County Engineer
County of Los Angeles
WM.J. FOX, COUNTY ENGINEER BUILDING
ADDRESS ® F+
CASSATT D.GRIFFIN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST dr
.CROSS ST..
OWNER DISTRICT NO: GROUP I ONE READY FOR INSPECTION
MAIL A& D�
ADDRESS
INDUSTRIAL
CIT T L.NO. WASTE APPROVAL
PLUMBER / ... INSPECTION RECORD
ADDRESS y `
CITY TEL..'NO JOE* %r�
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK -
DISHWASHER
LAUNDRY TUBOR TRAY
CLOTHES WASHER
TOTAL NO. @ 0.80 ^ APPROVALS
DATE INSPECTORS SIGNATURE
GAS SYSTEM OUTLETS (g1 1.00 ,
WATER HEATER@ 1.00 UNDER SLAB WORK
PERMIT 1 00 ROUGH PLUMBING
S I
GAS PIPING
TOTAL FEE r LO GAS VENT
1 HEREBY ACKNOWLEDGE THAT V 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.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
L10ENSED AS REQUIRED BY'LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM. THE LEGAL OWNER OF THE. ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL P PERTY. n
SIGNATURE
OF PERMITTEE "' FINAL
WILLIAM J.FOX.COUNTY ENGINEER ALIDATION R.A.WOOD,CHIEF PLBG.INSPECTOR
ICO 8 8 2 61 OCT 11 g '1 .8 U .