HomeMy Public PortalAbout6118 IVAR AVE_Plumbing_6/17/1957_water fixtures and gas outlets 76A667 OSS 17 11-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 DISTRIC O. GROUP ZO E PERMIT NO
!
PLUMBER READY FOR D
nA% RECEIVED BY DATE ISSUED
FIRST INSPECTION
ADDRESS � � ' � �®
BUILDING
CITY a /d TEL No. ADDRESS
4419v
COUNTY
LOCALITY
LICENSE ND. EXPIRES
NEAREST
PERMIT FEES CROSS sT.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER _ li}. if I /^ ,
MAIL V
WATER CLOSET(TOILET) @ 13.5131s 1 ADDRESS LjL `M! I1 S, e— ) J
BATH TUB @ 0.50 CITYS'? �� TEL. No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I 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 STATE LAWS REGULATING PLUMBING.
KITCHEN SINK @ 13.511i
-� I CERTIFY THAT I POSSESS THE�ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY,LICENSE j OR'•I AM THE LEGAL OWNER
/ OF THE RESIDEN IAL PROPERTY DESCRIBED'ABOVE.
GAS SYSTEM OUTLETS @ 0.50 �
81GNATURE OF / ✓�, �.�/
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.50 � `
INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0:50
DRINKING FOUNTAIN @ 0.5D (�
_URINAL @ 0.50 -'fir 3 .,I 1)3 /_A-i,. rfL6.n a
HOUSE SEWER @ 0.SO `� /,>' z
_O
MISCELLANEOUS "
• 1
t
APPROVALS
DATE •INSPECTOR'S NAME
ROUGH PLUMBING
1� z"��
GAS PIPING h 0tv• AJGd l.�
GAS VENT :
CESSPOOL @ 1,00 CESSPOOL •'
SEPTIC TANK: SEPTIC TANK 1.
DRAIN ( ) PIT ( ) @ 1.00 I SEWER �[ �Y
PERMIT I 1.00 GAS TEST I" 0�I_ 'srC/ /"� h/'
_ UTILITY CO.NOTIFIED ��'��' �.._/VI� •
TOTAL FEE $� p�
FINAL �� "—1,�.,/E��vyA'