HomeMy Public PortalAbout9344 DAINES DR_Plumbing__ 76A667 DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
�- �'tOUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT O. GROUP ZON P RMIT NO-
FOR
.FOR APPLICANT TO FILL IN A „��O
PLUMBER �� )Alt? 6129d q RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTIONG,�^
ADDRES �— .
U I L E
CITY TEL No. a ADDRESS 7Y
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES cRoss sT.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER --
MAIL
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS a
BATH TUB @ O.SO F
TEL.. No '� i
SHOWER @ D.so I "HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTttPiLICEN E, OR 1 M THE LEGAL OWNER
/ OF THE RESIDEIYTI L P -•PE T ESCR D ABOVE.
GAS SYSTEM OUTLETS @ 0.50
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTE
SLOP SINK @ o.so PECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ O.SO
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 Q
HOUSE SEWER @ 0.50 ?
_
MISCELLANEOUS O
IrO
APPROVALS
D E INSPECTOR-9 NAME
ROUGH PLUMBING
EEGAS PIPING
GAS VENT
CESSPOOL @ 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.001 SEWER
PERMIT 1.00 GAS TEST1--17
UTILITY CO.NOTIFIED /
TOTAL FEE
FINAL
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