HomeMy Public PortalAbout9706 WOOLLEY ST_Plumbing__ DBS-1712.54 _ `APPLICATION FOR PLUMBING PERMIT
DIVISION OF SUMI)ING AND SAFETY 11
Deportment of County.Engineer
County Of LOS Angeles BUILDING11
WM.J. FOR, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT OF BUILDING
OR APPLICANT TO FILL IN LOCALITY
• /LN„
OWNER , /'/ �L DISTRICT NO. GROUP. j ONh/,Q READY FOR INSPECTION
MAIL
ADDRESS ,y. _, .(
INDUSTRIAL
CITY o TEL.'NO. i �,� WASTE APPROVAL'
PLUMBER �o�P -r• INSPECTION RECORD
ADDRESS Q
CITY TEL. NOJ /7 Ooh
LICENSE NO. V V i 9x CdYI�
NUMBER TYPE OF FIXTURE OR ITEM FEE
C1 WATER CLOSET'(TOILET)
Q BATH TUB
B SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
- ass c s FoR ,�xr
t L L &
TOTAL NO. a 0.80 '' APPROVALS NO S,RASfCRPSyET
DATE INSPEGTOR'S SIGNATURE
GAS SYSTEM OUTLETS ® 1.00 �D
UNDE SLAB WORK /
WATER HEATER �' 1.00 CN
ROUGH PLUMBING
PERMIT g I 1 00
GAS PIP NG
TOTAL FEE D GAS VEAT /�A
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WA ER HEATER G(Y
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE 'LAWS REGULATING PLUMBI G FIXTURES
P IU HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TES Ir 3—4-S6
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY O.NOTIFIED -L. r Ie'i!/f�B[RTGtX,Cd
CALIFORNIA OR TH 1 AM THE LE L OWNER OF E BOVE
DESCRIBED RESIDEN L PRO TOTAL
R
SIGNATURE i r yam/ �.
OF PERMITTEE FINAL �. PS AE^"J J-�l(D !.
WILLIAM J.FOX,COUNTY ENGINEER 71MpRAATION
-8M JM 1 3 1020
BY
N, DEPUTY