HomeMy Public PortalAbout4836 ENCINITA AVE_Plumbing__ 11
76A667 Des 17 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
S R PPERMIT NO
FOR APPLICANT TO FILL IN , I ZONE
Lf .
PLUMBER
1 I RECIEIVED READY FOR DATE ISSUED
VALLEY BOULEVARD 1 FIRST INSPECTION D_ ep
ADDRESS f�
8300 EAS I VALLLY t5tV0. BUILDING
CITY TEL No ADDRESS
COUNTY _ LOCALITY
1 BE NO EXPIRES
NEAREST /) C
PER IT FEES CROSS ST. (fig
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 40 CSO !If -ADDRESS
BATH TUB Q 0.50 CITY TEL No
SHOWER 0 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) (@ O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK C@ 0513 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 0513 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIA PROPERTY DESCRIBED A2,Q
GAS SYSTEM OUTLETS O 50
SIGNATURE OF
WATER HEATER @ O 50 PERMITTEE
SLOP SINK @ 050 INSPECTION RECORD
FLOOR SINK O BO
FLOOR DRAIN 0.50
DISHWASHER 050
DRINKING FOUNTAIN 050
URINAL 0.50 ➢S{-.���1t.es-Gsrov�"�Q
HOUSE SEWER 050 Z
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL (ID 1.00 CESSPOOL
SEPTIC TANKI SEPTIC TANK
DRAIN ( ) PIT ( ) 100 SEWER
PERMIT 1 OO OAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE S FINAL � !9
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