HomeMy Public PortalAbout9040 ACASO DR_Plumbing_6/2/1953_61260 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer PLUMBING
DIVISION OF BUILDING & SAFETY
WILLIAM J FOX, County Engineer
FOR APPLICANT TO FILL IN D RCT N.O. ISU Z
PLUMBER E IVED BY FIRST INSPECTION DY FORD E UED
ADDRESS 3
_ BUILDING d 'A0CITY EL.No D ADDRESS yV
COUNTY LOCALITY
LICENSE NO EXPIRES
NEAREST
PERMIT FEES cRoss ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) Q O SN $ D ADDRESS
BATH TUB Q O 5 O CITY TEL. No
O
SHOWER 0 O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY !� O O O ANGELES COUNTY LICENSE. OR 1 AM TH LEGA OWNER
OAS SYSTEM OUTLETS a O O O OF THE RESIDENTIAL P DPE DESCR D A VE.
SIGNATURE OF i
WATER HEATER
O O PERMITTE
SLOP SINK s0 INSPECTION RkbORD Of
FLOOR 81 NK @ 50 C
FLOOR DRAIN !$ 50
1
DISHWASHER Q 50
DRINKING FOUNTAIN 50 /l4 cre.✓ U'� !v/i� Y.tE.v7�
URINAL 0.50
HOUSE SEWER 050 v ,� 1��Aa0�� Z
MISCEL NEOUB I / s 7,•���Q ��p( Nr�,p
Gr G
A.% -r-ArV -- 11�•C�' o
APPROVALS
DATE INSPEC R'S NAME
ROUGH PLUMBING
GAS PIPING Q/ L
GAS VENT
CESSPOOL 100 CESSPOOL
SEPTIC TANK' SEPTIC TANK
DRAIN ( ) PIT ( ) 100 SEWER i
PERMIT .
1.00 GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE $
FINAL
7"667 DBS#17 10/52