HomeMy Public PortalAbout9023 JAYLEE DR_Plumbing_10/31/1952_47588 bath tub 7GA667 Des 17 7-6I APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY. OF LOS ANGELES PLUMBMNU
WILLIAM J. FOX, CHIEF ENGINEER
PERMIT NEJ.
FOR APPLICANT TO FILL IN I5TR T O. GROUP I ZONE
PLUMB �.Vr-�"�V �" r RECEIVED BY READY FOR DATEISS ED
FIRST INSPECTION
W 4.
AD ESS �Q _
' BUILDING .D
CITI(. 1 i ", TEL. ND ADDRESSAe
COUNTY ``J LOCALITY /-P fi
ICENB.E NO. EXPIRE. 'o
NEAREST
PERibs6d FEMS
CROSS 5T
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL •"
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS .O 3 L- -'� �'7
BATH TUB CI? 0.50 CITY TEL. No /
SHOWER 0:50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS '
LAVATORY (WASH BASIN) (@ 0.60 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY T 1 POSSESS T A813VE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COU" ICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDE 1 PREP TRT EB RIBED ABOVE.
GAB SYSTEM OUTLETS 0.50
SIGNATURE OF \
WATER HEATER 0.50 PERMITTE
SLOP SINK 0.50 ECTION RE
FLOOR SINK G 0.50
Ng
FLOOR DRAIN 0:60
DISHWASHER 0.50
DRINKING FOUNTAIN @ 0.60
URINAL 0.50
Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS L7
Q.
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 1:00 CESSPOOL
SEPTIC TANKC SEPTIC TANK
DRAIN ) PIT ) 1.00 SEWER
PERMIT I 1.00 OAS TEST
�� UTILITY CO.NOTIFIED
TOTAL FEE $
,y
FINAL �V U