HomeMy Public PortalAbout9018 RANCHO REAL RD_Plumbing_5/7/1957_32176 house sewer 76ASS7 OBS 17 7-61 .-' . — APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER to 1
FOR APPLICANT TO FILL IN I,DISTRI_CT NO-.— ROUP ZONE .
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t.7
PLUMBER . REC ED BY READY FOR DATE ISSUED
FIRST INSPECTION ti
r `
ADDRESS
4BUILDING
CITY TEL No. !ADDRESS
COUNTY I LOCALITY
C NSE NO. EXPIRES
NEAREST
MIT
PERFEES CROBH ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE I OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS
BATH TUB a 0.50 I CITY TEL No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 ANPLICATION AND STATE THAT HABOVE
D AGREE T COMPLY W TH ALLC COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 0.90 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS 0 0.50
BION
WATER HEATER 0 0.5o PA RMITTEE_
GLOP BINK 0 O.sG INSPECTION RECORD
FLOOR SINK 0 0.50
FLOOR DRAIN 0 0.513
DISHWASHER ! 0.50
DRINKING FOUWrAIN @ 0.90
URINAL O.SO :I J
Q
HOUSE HEWER ! 0.60 aro Z
MISCELLANEOUS t70!
O
I
i
i
APPROVALS
DATE INBPEOTOR-e HAMS
ROUGH PLUMBING
I
GA@ PIPING
GAS VENT-
CESBPOOL1.00 ( CESSPOOL
i
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER i�LI. C~
PERMIT • l.oD I GAS TEST
oe
UTILITY CO.NOTIFIED /
TOTAL FEE la �J I FINAL eegl�J