HomeMy Public PortalAbout9117 BROADWAY_Plumbing__ 76A659 DSB 17 11-513 ' APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETYi �
COUNTY OF LOS ANGELES LC
WILLIAM J. FOX, CHIEF ENGINEER
NO. �rj�IJN�F FFLHMII Nu.
FOR APPLICANT TO FILL IN DISTRICT.
PLUNDER / READY FOR
RECEIVED BY DATE ISSUED
I / FIRST INSPECTION
BUILDING r
CITY ' / TEL No. ADDRESSCOUNTY
c ,J
LICENSE�N0. EXPIRES LOCALITY / 73 J �/
NEAREST
PERMIT FEES crto9e BT. ta/
NDM9ER TYPE OF FIXIIIRE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) Q 0.50 G ADDRESS 9117
BATH TUB @ 0.50
CI TEL. No.
SHOWER @ 0.501 HEREBY CKNOWLEO E THAT I HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND 6TATEqTHAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE.LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ D.SD ANGELES COUNTY FIC NSE. OR I AM THE LEGAL OWNER
/I OF THE RESIDENT PROPERTYDEBC I ED ABOVE.
.^ GAS SYSTEM OUTLETS @ 0.50 U SIGNATURE OF
WATER HEATER @ 0.50 PERMITTE
SLOP BINK 0.50 IN PECTION RECORD
FLOOR BINK @ 0.50
FLOOR DRAIN @ 0.50 /7"' DISHWASHER ® 0.50
DRINKING FOUNTAIN @ 0.50 2•++•
URINAL @ 0.50 A
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS to
0
APPROVALS
DATE INSPECTOR-5 NAME
ROUGH PLUMBING
OAS PIPING
BAB VENT
CEBSPODL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
is DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 GAG TEST
/ UTILITY CO.NOTIFIED
TOTAL FEE S v
FINAL
I'.