HomeMy Public PortalAbout9318 DAINES DR_Plumbing__ 51 APPLICATION FOR PERMIT
QrAfi67 _P PRENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES L M
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT GROUP I ZONE PERMIT NEI.
FOR APPLICANT TO FILL IN 7
PLUMBER • - �� RECEIV D BY READY FOR. DATE ISSUED
FIRST INSPECTION
ADDRESS
_ _ BUILDING ¢j
CITY TEL.N..�� a' ADDRESS /�
COUNTY d LOCALITY ✓ eL�----
NSE NO. EXPIRES6AQ Aim
NEAREST
PERMIT FEES CROSS ST. /
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER WI .4—
ey
MAIL
®� WATER CLOSET(TOILET) ADDRESS 54.'10
BATH TUB @ - rm 4r> CITY Q/E` TEL. No
SHOWER d 1 HEREBY ACKNOWL DGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ - 62l APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a ANGELES COUNTY LI N E, OR I AM E LEGAL OWNER
GAB HYSTEM UTLETB ��� OF THE RESIDENTI P PERT O IBED A UVE.
SIGNATURE OF
WATER HEATER �'�9.�50 PERMITT€
SLOP BINK 0 0.30 IffSPECTI.ON RECORD
FLOOR SINK (9) 0.30
FLOOR DRAIN @ 0.30
DISHWASHER 0:30
DRINKING FOUNTAIN 0.30
URINAL @ 0.30
Q
HOUSE SEWER O.BO Z
MISCELLANEOUS 13
O
APPROVALS
DAT ! INSPECTOR�SNAME
ROUGH PLUMBING /JJJJ , ';•✓"� .- --,
GAS PIPING Ap
GAB VENT
CESSPOOL Q 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1,00 GAS TEST
UTILITY CO.NOTIFIED G' .a✓
TOTAL FEE $
`FINAL
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