HomeMy Public PortalAbout6118 IVAR AVE_Plumbing_6/17/1957_house sewer 76A667 DBS 17 11-SO APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT G O P ONE RMI O.
PLUMBER ` RE IVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
BUILDING
CITY TEL No. ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRES A
NEAREST
PERMIT FEES CROSS ST
NUMBERTYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 $ ADD S
BATH TUB @ O.5D - CI o.
SHOWER @ ().Sc) `�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
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
ICERTIFY THAT 1 POSSESS H ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTXAlP
SE, R THE LEGAL OWNER
OF THE RESIDEN T SCRIBED ABOVE.
GAS SYSTEM OUTLETS @ O.SO
SIGNATURE OF
WATER HEATER @ O.SO PERMITTE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50
HOUSE SEWER @ 0.50 Z
O
MISCELLANEOUS �
O
I
APPROVALS
DATE INSPECTOR'S HANK
ROUGH PLUMBING
GAB PIPING
GAS VENT
CESSPOOL @ 1,00 CESSPOOL
SEPTIC TANK: SE
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 GAS TEST '
TOTAL FEE $ Ole, UTILITY CO.NOTIFIED
�- �� FINAL 3 x,tD