HomeMy Public PortalAbout10619 FAIRHALL ST_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
ISTRI. T NO. GROUP ZOR—E----PLWMIT NO.
F13R APPLICANT TO FILL IN IA
PLUMBER RECEIVED BY READY FOR
DATE
ISSUED
ADDRESS VALLEY BOULEVARD PLUMBING e ✓✓ UFIRST INSPECTION
866 LnSTroilN
BUM. BUILDING
CITY E)6EP"Ar-AIl TEL No. 'ADDRESS
COUNTY v... "" LOCALITY �-(✓/
LICENSE NO. (1786 EXPIRES &Q Q. -
""
'NEAREST
PERMIT FEES CROSS ST.
NUMBER, TYPE OF FIXTURE OR ITEM FEE - OWNER /I _
MAIL
WATER CLOSET(TOILET) 0 0.50 S ADDRESS
BATH TUB Q 0.50 'CITY TEL. No.
SHOWER 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WA.HH BASIN)--`=(�'=0:50`
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLYWITH-ALL COUNTY-ORDINANCES= _
KITCHEN SINK Q 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q G
0.50 ANELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED OVE.
GAS SYSTEM OUTLETS Q 0.50
BION
WATER HEATER a 0.50 PERMITTEE-
SLOP SINK 13.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN Q 0.50
DISHWASHER Q 0.50
DRINK-ING FOUNTAIN Q O.SO
URINAL Q 0.50 - Q
HOUSE SEWER Q 0.50 Z
MISCELLANEOUS E9
0.'
O
APPROVALS
DATE INS/ECTOR'9 NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 1.00 CESSPOOL �/J it „1(- B/
SEPTIC TANK: SEPTIC TANK hhA
DRAIN ( ) PIT ( ) Q 1.00 SEWER
,t 1
PERMIT . . . . . . I 1.00 GAS TEST
UTILITY CO.NOTIFIED �AVI
TOTAL FEE $ I
FINAL
76A667 DBS#17 6-52 Y
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