HomeMy Public PortalAbout9575BISBY ST_Plumbing (3) APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING 1
Nl� COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT FILL IN DISTRICT NO. GROUP ZONE FERmrTT NO.
/ v
PLUMBER - RECEIVED BY READY FOR DATE 164UILD
FI RSTINJiP[CTION
ADDRESS
■UILDING
CITY TEL NO. ADDRESS
COUNTY LOCALITY
LJCKN9W N
NEAREST
PEBIM FEES CROSS ST. ..�+
i
YUY�t TYPE OF FIZl1J[E OR ITEFI FEE OWNER
MAIL
WATER CLOSET TOILET 0.60 111 ADDREBS
BATH TUB 0.00 C TEL NO.
SHOWER 0.SQ I HKRIDY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY WASH BASIN) O. APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY OftDINA.NCEi AND
KITCHYN SINK 0.00 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSE" THE ABOVE VAUD LOS
R
LAUNDRY TUB OR TAY 0.80 ANGELEB COUNTY LJCIKN81L OR 1 AM THE LEGAL OWNER
OF THE REBID IAL PROPERTY R 137 ABOV
GAS SYST�+ OUTLETS O. nW!/
SIGNATURE OF ` 7;-Y
WATER HEATER O.BO P6RMITTE If Ael
SLOP SINK 0.00 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN O.BO
DISHWASHER 0.00
DRINKING FOUNTAIN 0.0
URINAL @ 0.00 ,J
HOUSE SEWER O.00
MISCRLJ..ANEOUS n
D.'
O
�
APPROVALS
DATE rKUPTCTOW9 KAMM
ROUGH PLUMBING
GAD rlPING
GAS VENT q
CESSPOOL !' 1.oQ CESSPOOL 1 7 �' L 4,A/
SEPTIC TANKi SEPTIC TANK
DRAIN ( ) PIT ( ) @ I.DO SEWER
PERMIT . 1.00 a" TEST
UTILITY CO. NOTIFIED
TOTAL FEE
� FINAL 1�►/.�% r.��"