HomeMy Public PortalAbout9731 WOOLLEY ST_Plumbing__ DBS-17 12.54 APPLICATION FOR PLUMBING 'PERMIT
DBS-17
DIVISION OF BUILDING AND SAFETY 1'
Deportment of County Engineer
County Of 1.08 Angeles BUILDING p
WM.J. FOX. COUNTY ENGINEER ADDRESS 931
CASSATT D.GRIFFIN.SUPT OF BUILDING
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER �17,11
�f/✓ DISTRICT NO. GROUP NE READY FOR INSPECTION
MAILo
ADDRESS 7,/p INDUSTRIAL
$ I I�3 /fJ✓►�
CIT &,NJ ALA62 TEL. NO. AT 7- %3 WASTE APPROVAL
PLUMBER V. !E I.:.a INSPECTION RECORD
ADDRESS / t/i / JJgoo,
CITY ,v G`+.lGJ TEL.NO. -/ A
LICENSE NO. j/ f.32
NUMBER TYPE OF FIXTURE OR ITEM FEE
�J _WATER CLOSET (TOILET) $
/ BATH TUB
SHOWER
Zf r �
LAVATORY (WASH BASIN)
/ KITCHEN SINK F7 n 1- •/ e� �'+�r
DISHWASHER
LAUNDRY TUB OR TRAY i l°e AT JCI y
CLOTHES WASHER
- - •1f r ' •f� f'(�1�.c'rr —
e -0 Af /,/AI'E
TOTAL NO. 0 0.80 ` 66 APPROVALS
—� DATE INSPECTOR'S SIGNATURE
CAS SYSTEM OUTLETS 1.00 f 00
I „ ,
WATER HEATER aQ 1.00 / D D UNDER SLAB WORK
ROUGH PLUMBING ( J _�/ s� !!fes. '�•
PERMIT S 1 00 �-
GAS PIPING �—
TOTAL FEE da GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATERu" _
AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING. GAS TEST
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO.NOTIFIED
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE FINAL
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION
_tol 9 0 1IR MR24 3 8.6 0
. By
DEPUTY