HomeMy Public PortalAbout9512 GIDLEY ST_Plumbing__ 76A667 DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OP LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APP (CANT TO FILL N ISTRICT D. 7 ZO /
PLUMBERt READY FOR AT
RECEIVED BY
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'1�-"T INSPECTION '_'p
ADDRESS /
BUILDING
CITY TEL. NO. ADDRESS
COUNTY LOCALITY `
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST. Ix
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 III ADDRESS
BATH TUB Q 0.50 CITY TEL N0.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR 1 ^m THE -LEGAL JOWNER
OF THE RESIDENTIO R fDCRIB,E9"ABO E.
GAS SYSTEM OUTLETS 0.50 !°
SIGNATURE OF
J.-
WATER HEATER @ 0.50 PERMITTEE -
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK Q 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN Q 0.50
URINAL 0.50 J
y, Q
OUSE SEWER @ 0.50 v Z_
MISCELLANEOUS E3
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1,013 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE s
FINAL
7°A,SAW7 D, 17 11-90 APPLICATION FOR PERIIM
DEPARTMENT OFING AND. SAFETY
COUNTY OFF LOSLOS ANGELES
VVI LLIAM J. FOX, 13HI13r KNo1NKIM PLUMBING 1
F PPL FIL IN r- / - a
rLUMo ��p��pByREADY FTIR sm
FIRDT INtPIEITION
OTI A
ADDRKRa
aUILDINIM
CITY TEL. N ADDR[liR
COUNTY �/ LODALITY
J NrARKAT
PERIIM FEES CRDs NT. 1YG
NUMmR TYPE DF FI)Cn11lt OR ITUI FC[ 13WNKR
MAIL
WATER OLrair(TOILET) Q 0.60 ADDRCRIR
RATH TUR Q 0.60 CITY TEL
■ROWER Q 0.60 1 HEREBY A13KNMYLIED13K THAT 1 HAVE READ THIN
LAVATORY (WARH BASIN) Q 0.1513 APPU13ATION AND RTATE THAT T'HK ABOVE 10 CORRECT
AND AOREK TO COMPLY WITH ALL COUNTY ORDINANDIM
KITOHKN MINK Q 0.150 AND STATE LAWS RZDUI ATINO PLUMBING.
1 R
OKTIFY THAT I P066MM THE ABOVE VALID LDS
A
LUhIDRY TUB OR TRAY Q 0.150 ANGELES COUNTY L ENSC. OR I AM THE {.COAL
OJU♦ SYST'[�a nUTLETS 0.60
OWN
OF -171-11 R[11DQtT P PKRTY WL
Q
■IBNATUR[ OF
WATER HEATER Q 0.80 PO MI
SL1313 ■INK Q 0.80 INSPECTION RECORD
FLOOR BINK Q 0.60
FLOOR DRAIN Q 0.613
DIRHWASHO3 Q 0.110
DRINKING FOUWrA1N Q 0.60
URINAL Q 0.60 J
HOUSE NEVER Q 0.110
MISOKL KOUS
0
APPROVALS
DATE iNwqmTo" MANIC
ROUGH PLUMSINO S
CLAM PIPING
DAl VENT
C[BSPOOL Q 1,00 CEBBPDDL
SEPTIC TAMK1 ■KPTIO TANK
DRAIN ) I-IT ( Q 1.00 HEWER
PERMIT 1.00 DAN TKHT
TOTAL FEE
UTILITY D0.NOTIFIED
ZINAL
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