HomeMy Public PortalAbout9559 BROADWAY_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Df of County Engineer �L q
DIVISIONSION OFOF BUILDING & SAFETY [�3�✓'
WILLIAM J. FOX, County En0lneer -
FF.IR PLICANT TO FILL IN DISTRI.CT NO. UPI/ ^ /I
PLUMBE ,. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS!!
t J� BUILDING L !�
CITY TEL. N �y�'J ADO RE69 V /
COUN LOCALITY
LICEN NO EXPIRE O ,
NEAREST
P RMIT FEES CR0999T.
NUMBER TYPE OF NXTORE OR ITEM 1 FEE OWNER
I p MAIL
WATER CLOSET(TOILET) a O.SD 7 p_D ADDRESS
BATHTUB ® O.Sp, 'r
4 f� CITY TEL N
SHOWER ® 0.50 n ✓nn .41_17.74
HER Y ACKNDW DE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) 0.51I V. AN LEE TO COMP W TMA ALLHC OUNTY ORDINANCES CORRECT
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
I 1 CERTIFY THAT 1P 99E .TME ABOVE VALID LOB
LAUNDRY TUB OR TRAY Q O.Sp� ANGELES COUNTY LIC £, R i AM THE LEGAL OWNER
GAS 9YBTEM__OUTLETB 0 0!501 OF THE RESIDENTIAL 0 RTY DEBC BED-ABOV151
WATER HEATER @ O.IBOI � (,Y � SIGNATURE OF PERMITTEE
GLOP BINK - ® 0.50I INSPECTION RECORD
FLOOR SINK.° 0.501
FLOOR DRAIN 0.501
DISHWASHER Q 0.50
DRINKING FOUNTAIN a 0.50
URINAL @ 0.50 J
Q
HOUSE SEWER ® 0.50 - _Z
1
MIBC EL EDV
APPROVALS
DATE INBPE�C/TOR'9 NAME
ROUGH PLUMBING ///X. v
CAB PIPING
GAS VENT
CESSPOOL Q 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) ® l.Op SEWER
PERMIT t,pp GA9 TEST
es UTILITY CO. NOTIFIED / ///�s
TOTAL FEE 5 6 LO FINAL 44,t" ,f -ffd4 --d--- --
76A667 DBS#17 10/52