HomeMy Public PortalAbout9314 DAINES DR_Plumbing__ 7GA667 DBS 17 7-51 liJ APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES.0- -
WILLIAM J. FOX, CHIEF ENGINEER
D R GR. U Z E P R .
IA-1
FOR APPLICANT TO FILL IN T P'�;�/��
PLUMBER — - ,.. RECEI ED BY R£ADY FOR' DATE ISSUED
FIRST INSPECTION
ADDRESS � __
�R BUILDING /
CITY TEL No. %� ADDRESS
COUNTY i ,. LOCALITY t✓ f
SE NO. I EXPIRES
NEAREST
PERMIT FEES CROSS ST. �3
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) !@'"O:'BO III ZS ADDRESS
BATH TUB @ ] CITY TEL. N
SHOWER a fF 513 1 HEREBY KNOWLEDA THAT 1 HAVE READ THIS
i LAVATORY (WASH BASIN) $..§g- AND
AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK AND STATE LAWS REGULATING PLUMBING.
t CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY (@ ANGELES COUNTY LLE%SJE, OR I AM Tj4W LEGAL OWNER
,t OF THE 'Est IENT1 PERTY ES ED AB VE.
/ GAS SYSTEMOUTLETS @
SIGNATURE OF
WATER HEATER PERMITTE
SLOP SINK @ 0.50 INSPECTION RECORD '
FLOOR BINK O.SO
FLOOR DRAIN 0.50
DISHWASHER @ 0:50
DRINKING FOUNTAIN @ 0.50
URINAL tl1Z O.SO J
Q
HOUSE SEWER @ 13.30 _z
MISCELLANEOUS E3
w
O
APPROVALS
DATF INSPECTOR'S NAME
ROUGH PLUMBING /Awl-
BAB .n°'
GAS PIPING !� - �(
,J
VENT �!
CESSPOOL 1,00 CESSPOOL
BEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) (@ 1.00 SEWER
PERMIT I 1.00 GAS TEST
UTILITY CO.NOTIFIEDr
TOTAL FEE ^
�vj FINAL ��� /3W-3