HomeMy Public PortalAbout9722 WOOLLEY ST_Plumbing__ BS-17,o-ss APPLICATION FOR PLUM91NG PERMIT 1
BS-17
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING /�J•J 9 /�l� �i
JOHN A.L.AMBIE, COUNTY ENGINEER ADDRESS
CASSATT D..GRIFFIN,SUP'T OF BUILDING LOCALITY �9-
FOR APPLICANT TO FILL IN I NEAREST ® �/
CROSS ST. (/
OWNER //- Ar�SerslG•�-' DISTRICT NO. GROUIP I ZONE I READY FOR INSPECTION
MAIL Q/
ADDRESS J!
CITY INDUSTRIAL
/�/ TEL. ,N.O�. WASTE APPROVAL
PLUMBER �rGC4�y -�,, � ,C[o INSPECTION RECORD
ADDRESS
CITY ,!' ye SZf/'Z-GC�J IJTT ESL.NO.25;&I
_LICENSE NO. /ZP� 6 7/ L-T-s-7fc1�}S�yrC'.D Y
NUMBER TYPE OF FIXTURE OR ITEM FEE /7'�j� [I�TjCr Z, _]`jFJPl=
WATER CLOSET (TOILET) @ $1.00 $ ?i' 4,4Alr_-f
BATH TUB @ $1.00 / p
SHOWER @ "$1.00
LAVATORY (WASHBASIN) @ $1.00 � l'
KITCHEN SINK @ $1.00 A :m. I,,7 ��� F� �l/�Amr.r eg;
DISHWASHER @. $1.00 /11D7 J`'✓7/t/'A x-DC7' =L1 Y �`
LAUNDRY TUB OR TRAY @ $1.00 / V�)/��, �
I CLOTHES WASHER @ $1.00 �cz
WATER HEATER @ $1.00
/ GAS SYSTEM @ $1.00
APPROVALS
AIR DATE INSPEC/ R'SrSIGNATTUURE
TO
UNDER B WORK
PERMIT $ -1 00 ROUGH PLUMBING. AAI/CU'® F
O _ B�d� GAS PIPING - �;
TOTAL FEE �� GAS VENT /� Y/
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER !//7��/,�
AND STATE THAT THE ABOVE IS �ORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST S
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE ; UTILITY.CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY. r
SIGNATURE p�-A f.��%
OF PERMITTEE• J I'.•.. !•� GC• � FINAL
IOHN A.L.AMBIE,COUNTY ENGINEER LIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
CR. R.O. CASH
U, 9 1 5 8 E JIM 12 3 1 2.0 0 10