HomeMy Public PortalAbout10949 FREER ST_Plumbing__ DEPART O TTT OF COUNTY ENGINEER PLUMBING 11
,DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANQEI,F$ BUILDING
' WILLIAM J. FOX, COUNTY ENUINEER ADDRE88 /(/!
FOR APPLICANT TO FILL IN LOCALITY
BUILDING / �/ NEAREST
ADDRESS ! Q ` / ol^ CROSS ST.
0.1
/ _ DISTRICT N�. CROUP ZONE PERMIT N0.
LOCALITY !/ � f�
NEAREST 'I
CROSS ST. EO IVED BY Rsady for larposHo■ DAT5AS8'4.ED
OWNER IO 4f
MAIL IVDU L
ADDRESS WASTE PPROVAL
CITY TEL N0.
INSPECTION RECORD
PLUMBER ��
ADDRESS—7 !�
CITY / iTELNO. '1'1I Q
R�-#TATE
LICENSE NO. Zi20 DOUNTY -.1
PERN= FEES z
4UMIMR TMP[ OF rixTLR[ ❑R mcm r[[ Q
WATER CLOSET(TOILET) ! 0-M f O D
O
BATH TUB ! a-" 0
SHOWER ! 0-M
LAVATORY(WASH BASIN) ! 0-89 O
KITCHEN SINK ! O.DO O
LAUNDRY TUB OR TRAY ! 0-ftJ7O
GLOP SINK ! 0.80
FLOOR SINK ! 0.80
FLOOR DRAIN ! 2.811
DISHWASHER ! 0.86
DRINKING FOUNTAIN ! LN
URINAL am
GAS SYSTEM OUTLETS ! I.00 00
WATER HEATER 1.00 O
MISCELLANEOUS
APPROVALS
DA INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING Q
TOTAL FEE 7 ,00 GAS PIPING
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI. GAS VENT
CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY L0S ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOV=EW EDRESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED -
SIGNATURE J
OF PERMITTE
FINAL
T6A667 DB8 17 W53 v