HomeMy Public PortalAbout10610 FAIRHALL ST_Plumbing__ COUNTY OF LOS ANGELES ,,. APPLICATION FOR PERMIT
Department of County Engineer
`DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
DISTRICTNO. GROUP ZONE PERPIT NE3.
FOR APPLICANT TO FILL IN ;6i
PLUMBER READY FOR
RECEIVED, BY DATE ISSUED
`VALLEY BOULEVARD PLUMBING n tw rte FIRST INSPECTION //
ADDRESS 7
.�vv'crcv' s >
L.• BUILDING Q
CITY {; —¢, -SEL. NO. ADDRESS (O
COUNTY
LICENSE N,0. .n+'.�•fi EXPIRES ' LOCALITY
"- ' NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM _ FEE OWNER :
MAIL
J WATER CLOSET(TOILET) 0 0.50 $ ADDRESS _
/ BATH TUB @ 0.50 CITY TEL. NO.
SHOWER 0 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 13.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
'OF THE RESIDENTIAL PROPERTY DESCRIBED A ❑VE.
GAS SYSTEM OUTLETS @ 0.50
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTE
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK (M 0.50
FLOOR 'DRAIN @ 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 Q
HOUSE SEWER @ 0.50 _Z
MISCELLANEOUB
O
APPROVALS
DAT INSPECTOR'S NAME
ROUGH PLUMBING Z / i l-,e -c
OAS PIPING 1 / 6
OAS VENT �y
CESSPOOL Q y,130 ;.CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( )' PIT ( ) @ 1.00 SEWER
PERMIT .
. . . I 1.130 GAS TEST
t7 UTILITY CO.NOTIFIED
TOTAL FEE
'FINAL �r
76A667 DBS##17 6-52