HomeMy Public PortalAbout9666 GIDLEY ST_Plumbing__ '76AW7 17 11-e0 15 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
2
COUNTY OFF LOSLOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT.L4.O. GROUP ZONE PERMIT NO.
PLUMBER p 7 IZ,Q I rJ n 171 i RECEIVED BY READY FOR DATE ISSUED
// � FIRST INSPECTION
ADDRESS ' �r5 E I`��� L� � ,
7 {7 k�
,�1 BUILDING
CITY�r!S/7 TEL. NO.,(,/. (//,-O.��/ ADDRESS
COUNTY ' 3.3O LOCALITY
NO.
LICENSE / EXPIRES
_ NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNERS ' a
MAIL
WATER CLOSET (TOILET) @ 0.50 S ADDRESS
BATH TUB @ 0.50 CITY TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 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
STATE LAWS REGULATI PLU,�MBINq-
KITCHEN SINK Q 0.50 I CERTIFY THATOI OFOS HE ABOVE V LI. LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LI NS OR AM. THE LEG q/O NER
OF THE RESIDENTIAL O RT. ES IBKD ABO
GAS SYSTEM OUTLETS @ O.50 I SIGNATURE OF
J.
WATER HEATER @ 0.50 PERMITTE
SLOP SINK @ 0.50 INSPECTION RECOR '
FLOOR SINK @ 0.50 ..r
FLOOR DRAIN @ 0.50
DISHWASHER Q 0.501
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 W
Q
HOUSE SEW ER Q 0.50 U
MISCELLANEOUSIL
J
_f o-r ❑
c�
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 I CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( @ 1.00 SEWER
PERMIT . i.o- GAS TEST
TOTAL FEE S
UTILITY CO. NOTIFIED
I `'1 .S
/� FINAL