HomeMy Public PortalAbout9639 WOOLLEY ST_Plumbing__ .DOS-177 8•99 APPLICATION FOR-PLUMBING PERMIT
DOS-17 7
DIVISION OF BUILDING AND SAFETY 1
Deportment of County Engineer. A O
County of LOS Angeles mweamcmp
BUILDING
WM.J. FOX. COUNTY ENGINEER ADDRESS
CASSATT D..GRIFFIN,SUPTOF BUILQING rib 13 7
LOCALITY VIC
FOR APPLICANT TO FILL IN NEAREST
CROSS SI'.
OWNER �(�GG1it. ' �Lt.��
MAIL DISTRI T NO. G OUP ZONE READY FOR INSPECTION
�/ I
- ADDRESS jj��O � .Lf.;a,Cb� eR-0
INDUSTRIAL
CITY
TEL
NO. -A-v WASTE APPROVAL
PLUMBER' INSPECTION RECORD
ADDRESS , afdC v
TEL.NO.
CITY".^'• G
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB
.SHOWER
f _ .
LAVATORY (WASH BASIN)
KITCHEN SINK.
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO. ® -e ee. DO APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM OUTLETS ® 1.00 4vD
WATER HEATER 1.00 4' UNDER B WORK M-,
PERMIT S 1' 00
ROUGH PLUMBING -k- ✓/ ��,.��� ,• r f
GAS PIPING - •.�f. �`J+'i�;,
TOTAL FEE /J oD GAS VENT +
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER. �(l
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY w
WITH ALL COUNTY ORDINANCES AND STATE 'LAWS REGULATING PLUMBING FIXTURES s
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GASTEST FL/N
LI `
CENSED AS REQUIRED BY LOS ANGELES COUN AND STATE OF
CALIFORNIA OR THAT I HE EG �ROF TOVEUTILITY CO.NOTIFIED DESCRIBED RESIDENTI
SIGNATURE
OF PERMITTEE FINAL
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION R.A.WOOD.CHIEF PL6G.INSPECTOR
'M16 39%0 JAN' 9 3 1 14 0 �