HomeMy Public PortalAbout10637 FAIRHALL ST_Plumbing__ t COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
u Department of County Engineer
it,DIVISION OF BUILDING & SAFETY
WILLIAM J FOX, County Engineer
STRICT NO. GROUP ON .
FOR APPLICANT TO FILL' IN DI
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PLUMBER READY FOR
VALLEY 1 RE BY DATE ISSUED
IPLUMBING Y'1 A-� FIRST INSPECTION — I —
u
ADDRESS ^,1/pn rG'�EnT VALLEY O
"" BtVD. BUILDING
h 2-2719 A
CITY SEuh TEL NO ADDRESS
COUNTY �� LOCALITY
LICENSE NO EXPIRES —
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER `�
MAIL
WATER CLOSET(TOILET) 11$ O 50 5 ADDRESS
BATH TUB O SO CITY TEL. No
SHOWER @ 050 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O 5❑ APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ O 50 AND STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 050 AN13ELEB COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
/ OF THE RESIDENTIAL PROPERTY DESCRIBED AB VE
GAS SYSTEM OUTLETS G O 50
SIGNATURE OF
WATER HEATER @ O 50 PERMITTE F,
�
SLOP BINK 050 INSPECTION RECORD I
FLOOR SINK @ 0 50
FLOOR DRAIN @ O SO
DISHWASHER @ O SO
DRINKING FOUNTAIN @ O SO
URINAL @ Oso -J
Q
HOUSE SEWER @ O SO _Z
MISCELLANEOUS 17
R'
I
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1 00 CESSPOOL
IItt 1
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ t DO SEWER SIU
PERMIT t 00 GAS TEST ` �� ,
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TOTAL FEE �O I UTILITY CO NOTIFIED \i�jty`
FINAL YWt11V�{
76A667 DBS$ 17 6-52