HomeMy Public PortalAbout9027 ACASO DR_Plumbing_11/14/1949_53169 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
rr COUNTY*OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
F:' A:D:I)MRFe F�ORAPPLICANT TO FILL IN a; DISTRICT NO. GROUP I Zt�E sPERMIT�O;�/-� �3RECEIVED BY READY FOR DATE ISSUEDERM FIRST INSPECTION S
��.yy /Pp �g BUILDING
CIT Q/�= � TEL N06rt�'1 7 2 ADDRESS i 061eJ�
i f
COUNTYti ' ' LOCALITY
LICENSE NO EXPIRES
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOIL ) @ O 50 s ADDRESS
BA*41T196. 0 50 CITY, TEL NO
SHOWER O 50 1 HEREBY'�CKNOWLE GE THAT I HAVE READ THIS,
LAVATORY (WASH BASIN) Q O 50 APPLICATION, D STATE THAT THE ABOVE IS CORRECT,ANO
AGREE-
COMPLY WITH ALL COUNTY ORDINANCES AND
STATZ&aWS REGULATING PLUMBING
KITCHEN SINK. (� O SO 1 CERTIFY THAT t POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY�pLICENSE OR,1 AM THE LEGAL OWNER
OF THE RESIDENT/ PROPE , S,DESCRIBEDPABOVIL
GAS SYSTEM -OUTLETS 0 50 S SIGNATURE OF CL.^ 4 `
WATER HEATER 0 O 50 PERMITTE
SLOP SINK @ O 50 INSPECT ,,ARECO PAI~
FLOOR SINK ® O 50
FLOOR'DRAIN Q O 50
DISHWASHER ® O 50
DRINKING FOUNTAIN ® 0'50
URINAL a O 50 1 J
' HOUSE SEWER 050 'Zs +
MISCELLANEOUS G
!^N 0►
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W �
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING
+
GAS PIPING
+ GAS VENT
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) Q too, SEWER
PERMIT 1 00 GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE $� 5j
aJ� FINAL