HomeMy Public PortalAbout9542 BISBY ST_Plumbing__ 76ASS7 DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
I TR ' ROUP O
FOR APPLICANT TO FILL IN -i-
PLUMBER�I'!Jr �'� l DA ED
�'�� RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
BUILDING
CITY „�. xTEt. NO c ADDRESS p,
COUNTOIL-
LICENSE
NO. EXPIRES LOCALITY
NEAREST
(.'ese PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNS $ `
MAIL
WATER CLOSET(TOILET) Q 0.50 $ tt)ol ADDRESS
BATH TUB Q 0.50 CITY TEL. NO.
SHOWER Q 0.50 I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS
f LAVATORY (WASH BASIN) Q 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK Q 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q 0.513 ANGELES COUNTY LICENSE OR JAM THE LEGAL OWNER
OF THE RESIDENTI P PERT,DEBCIIRIBEP' ABOVE.
GAS SYSTEM -"' OUTLETS Q 0.50 �`
SIGNATURE OF ^.',P f
WATER HEATER Q 0.50 � � PERMITTEE- er'
SLOP SINK Q 0.50 INSPECTION RECORD
FLOOR SINK Q O.SD
FLOOR DRAIN 0.50
DISHWASHER Q 0.50
DRINKING FOUNTAIN Q 0.50
URINAL Q 0.50 �-
HOUSE SEWER Q 0.50 _ Z_
MISCELLANEOUS CS)Q, E3
Q'
O
met /lr�e
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APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1.DO CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE ✓
FINAL
1