HomeMy Public PortalAbout9622 CRAIGLEE ST_Plumbing_2/28/1951_house sewer (2) 7eAe67 4117 s-so APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND-SAFETY
COUNTY OF LOS ANGELES PLUMBING I
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
PLUMBER,. / p' �° RECEIVED BY READY FOR DATE ISSUED
^j LL FIRST INSPECTION �..
ADDRESS-P-
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CITY '.•/F3Ta b�1 d�'I �•/ TEL. NO. /
ADDREIBUILDSS
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COUNTY , LOCALITY �G'fs/
LICENSE NO. EXPIRES NEAREST
PERMIT FEES CROSS ST. . ,'4 J/E?
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER 4 ADDRESS
AIL
WATER CLOSET (TOILET) @ 0.50 $ I ��AA 11,q /�+�y ,e� (/� ']'� (//�J}�/ /
BATH TUB @ 0.50 I I CITYra M- 9 "L M P*I�`[ TEL. NO. / /xf'g
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
J KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY@ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENT
/I,/.� PPRROOPERRTY EESCRIBED A OVE. ,}
GAS SYSTEM OUTLETS @ 0.50 I SIGNATURE
T EF -' � �"' T"'- ��A'r`�a./. .7
WATER HEATER @ 0.50 I _ ,
SLOP SINK @ 0.so I INSPECTION RECORD
FLOOR SINK @ O.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.501
�1 DRINKING FOUNTAIN @ 0.501
URINAL @ 0.501
I HOUSESEWER @ 0.50
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MISCELLANEOUS
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I
I�
I I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
. GAS VENT
CESSPOOL @ 1.00 —+ CESSPOOL �I
SEPTIC TANK: I SEPTIC TANK
I DRAIN ( ) PIT ( @ 1.601� SEWER
PERMIT . I 1,00 GAS TEST
I UTILITY CO. NOTIFIED
TOTAL FEE $ �A
�. FINAL I °G•"r�%lb^l1 to-'I