HomeMy Public PortalAbout9638 WOOLLEY ST_Plumbing__ B
OBS-179APPLICATION FORPLUMBING UMBIligO PERMIT
OBS-173-5IOF BUILDING AND SAFETY %39
Deportment of County Engineer Q 3
County-of Los Angeles BUILDING
WM.J.FOX.COUNTY ENGINEER ADDRESS a
CASSATT D.GRIFFIN.SUPT OF BUILDING
LOCALITY
FOR APPLICANT.TO FILL IN NEAREST �/�
CROSS.ST. id
OWNER "" ► /y- D.ISTRI NO. GRWP ON READY FOR INSPECTION
MAIL_ADDRESS QI Aa,'.
1 `j(,C,� 1
INDUSTRIAL
CITY d.yL J�_ TEL.NO. -3• WASTE.APPROVAL
PLUMBER I . INSPECTION RECORD
ADDRESS 4mailL.,
/KL"Pi. .
CITY TEL.'NO�
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET CTOILET)
BATHTUB
SHOWER
LAVATORY(WASH BASIN) y- r
KITCHEN SINKG�j (� �Gt ,�1�?•�J�'(J,�
DISHWASHER RIM _J ,4-r Jf1A1A.'
LAUNDRY TUB OR TRAY F��
CLOTHES WASHER
TOTAL NO. 0 o.. APPROVALS-
GAS SYSTEMz9:1:UTLETS ® 1.00
00 DATE INSPECTOR'S SIGNATURE
_
WATER HEATER ® 1.00 0 ., UNDER SLAB WORK
00
PERMIT 8 'I ROUGH PLUMBING
GAS PIPING.
TOTAL FEE GAS VENT /
1 HEREBY ACKNOWLEDGE THAT I RAVE READ THIS APPLICATION HOT WATER HEATER �-� r
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
,r
1 HEREBY CERTIFY THAT 1 AM PROPERLY EGISTERED.AND/OR GAS TEST ,� •�
LICENSED AS REQUIRED BY LOS GELES C TY AND STATE OF /��G
CALIFORNIA OR THA TH L A NE"F T ABOVE UTILITY CO.NOTIFIED_ y l-.% !"�- 111
DESCRIBED RESIDE P
SIGNATURE
OFPERMITT E FINAL �/
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION R.A.WOOD.CHIEF PLBG.INSPECTOR
y ? 6 5A JAIL 11 3 11.00
a -