HomeMy Public PortalAbout10919 FREER ST_Plumbing__ 76AQ07 t7 5-00 '® APPLICATION FOR PERMIT
f DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN 7[ DISTRICTNO. GROUP ZONE PERMIT NO.
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PLUMBER M. [„ IVOI�'�CH1'11Ri ` `• RECEIVED BY READY FOR ISSUE
FIRST INSPECTION
ADDRESSbz
19-3 NQ L�l Y erly Ave.
BUILDING
CITY TT ADDRESS O 3.y
LICENSE NO.
COUNTY EXPIRES LOCALITY
NEAREST
PERMIT FEES CROSS ST
.�d
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER i+.(
MAIL
WATER CLOSET (TOILET) Ca 0.50 $ I ADDRESS
BATH TUB @ 0.50 I I C-ITY TEL. NO.
1 SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AMTHE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRi BELT ABOVE.
GAS SYSTEM OUTLETS @ 0.501
SIGNATURE OF -
WATER HEATER @ 0.50 PERWTTEE? '
SLOPSINK @ 0.501 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.501
DISHWASHER @ 0.501
IDRINKING FOUNTAIN @ 0.501
I URINAL @ 0.501 I .J
1 HOUSE SEWER @ O.50 I 1 Q
MISCELLANEOUS I 0
O
1�
I�
1 I
APPROVALS
IDATE INSPECTOR'S NAME
1 ROUGH PLUMBING
GAS PIPING
1 I GAS VENT
CESSPOOL @ 1.00 CESSPOOL �I
1 SEPTIC TANK: 1 SEPTIC TANK
i DRAIN ( ) PIT ( @ 1.00 I SEWER
PERMIT . I 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE $ I
'FINAL
o.B.S,17 2SM SETS „-46 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �������� '
COUNTY OF LOS ANGELES
WM.J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT NO.
I
ROUGH FIXTURES COMPLETE '
HEATER CESSPOOL SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
AS MISCELLANEOUS
SEEN
fi
APPL C T FILL IN HEAVILY OUTLINED PORTION ONLY
JOB 3 .3 f � - c,,G
tL• NAME —ADDRESS
W d..�r
I ADDRESS J LOCALITY
NEAREST
.J _ 17/� C ��VTEL.No. � CR068 ST.
CITY �� i w�.
i COUNTY �,q /
ICERT.No. EXPIRES WK NAME hs e) �. ..
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
O ADDRESS
NORTH /r
�
CITY � ` ' TEL.No.
1 AM THE LE(;AV POBBES R OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE. � ^
3 `y'1 OWNER
CORRECTIONS
l2
SOUTH
J
DESCRIPTION OF WORK a
z_
_BATH TUB • FURNACE
(Y
._SHOWER DISHWASHER Q
J LAVATORY REFRIGERATOR
J -KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
t WASH TRAY URINAL APPROVALS
J�WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER--3—GAB SODA FOUNTAIN
OUTL 6A8 PIPING
GAS VENT I I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESSPOOL-------SEPTIC TANK SEWER
TOTAL FEE BOBBIE
S UTILITY CO.NOTIFIED
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FINAL