HomeMy Public PortalAbout9084 ACASO DR_Plumbing_5/22/1950_74646 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
ti COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
cow D15TRIC�NO GR�P I ZONE PERMNO�
FOR APPLICANT TO FILL IN � /yYJ rlJ YRMI NO
t
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPCCTION J 2— —1,
ADDRESS C�
BUILDING •3 / /C
CITY NO ADDRESS ! �d /"rC-4.
COUNTY LOCALITY �_e�jy, �{ge
LICENSE NO EXPIRES NEAREST ""TT''__ or
ERMIT FEES CROSS ST .'ORA �ye/Yp
/�►
NUMBCR TYPE OF FIXTURE OR ITEM FEE OWNER 994 .•
�Q
MAIL
ADDRESS
WATER CLOSET (TOILET) @ O SO $ ''
E BATH TUB @ O SO CITY •z TEL NO �""
SHOWER Q O 50 I HEPEBY ACKNOWLCDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
A (,LAVATORY (WASH BASIN) Q O 50 I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
Y ITCHEN SINK @ 0 50 I STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 O 50 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
A OF THE RESIDENTIAL PROPERTY DES BED AS E
GAS SYSTEMOUTLCTS @ O 50 I SIGNATURE OF
WATER HEATER @ 0501 PERMITTE • •
SLOP SINK Q 0 501 INSPECTION RECORD
f .FLOOR SINK. @ O 50
I-,')fF000RDRAIN @ O 50I 7 4-
DISHWASHER
DISHWASHER Q O Sol .L xT�1rs� 4�G V rib
DRINKING FOUNTAIN Q 0 Sol C-,,Amd
URINAL Mrd O 50 �� J
1 HOUSCSEWER @ O 501 1 a
A Ir MISCELLANEOUS
1 Z
MIS
_ o
APPROVALS
1 DATE I/NS/P _TO S NAME
1 ROUGH PLUMBING
GAS PIPING //y TN W
GAS VENT I H 0
101 CESSPOOL Q 1 00I CESSPOOL
SEPTIC TANK I SEPTIC TANK J
DRAIN ( ) PIT ( ) @ 1 00 SEWER /q// �,/�� J q p� �
PERMIT 1 00 GAS TEST
I TOTAL FEE-
1 $61 �� UTILITY CO NOTIFIED
FINAL
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