HomeMy Public PortalAbout9132 DUFFY ST_Plumbing__ 7G 69 069 Pl 0-51 `z e" APPLICATION FOR PERMIT
DEPARTMENT. OFANG AND SAFETY IF"L UJ MEN Nu` I
_ • "•"COIINTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DIS R . T O. ROU Z .
FOR APPLICANT TO FILL IN S•, . �_ /
PLUMBER VAIOfll Fy4rn pi yid Bl. a 6'e CEIVED BY FIR CADYINS PFOB ION ./JDATE
ISSUED
�f
COT
ADDREB9 .A"Is
BUILDING
CITY ROSEMFAD TEL No. 9-971c—
COUNTY -3,
LOCALITY It
tOE SE N0. EXPIRES
NEAREST
PERMIT FEES CROSS ST. . /NN/,6yxer✓
NUMBER TYPE OF FIXTNRE OR ITEM FEE OWNER
MAIL
_
' WATER CLOSET(TOILET) a 0.50 0 ADDRESS
BATHTUB a 0.50 CITY TEL No.
SHOWER 0:50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
ANO AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK (0 0.50 AND STATE LAW'S REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY 40 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDEL NTIAPROPERTY DESCRIBED ABOVE.
GAB SYSTEM OUTLETS Q 0.50 /
BISNATURE E �.u.(
WATER NEATER � 0.50 PERMITTEE
BLOW SINK ® O.SD �I�, IIdSPECTION�RECOHD" IF-
FLOOR BINK a O.BO .I :I'�
FLOOR DRAIN � [I.90,
DISHWASHER ® 0.50
DRINKING FOUNTAIN ® 0.50 .
URINAL 0.50 J
Q
HOUSE SEWER 0.50 _I
MISCELLANEOUS 99
O
APPROVALS
Q
DATE I/N�BPECTOR'9 NLM[
ROUGH PLUMBING
—GAS PIPING
GAS VENT
CEBSPOOL 40' 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
GRAIN ( ) PIT ( ) 1.00 I I I SEWER
PERMIT I 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE S
FINAL GV //