HomeMy Public PortalAbout5025 GLICKMAN AVE_Plumbing__ 76A667 DBS 17 7-57 [� 1,45 ' �,��'r 'S —Tl®a�6j), `19�DpLICATION FOR PERMIT
DEP'AHTNT OFNG AND SAFETY
CO �'
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRI NO'
GROUP I ZONE P .
PLUMBER �� 1:= . �`�ep�' a RECEIVED BY READY FOR DATE ISSUED _
FIRST INSPECTION
ADDRESS e-E f ,
BUILDING 'To �U
CITYTEL No.
LICKNSE NEL f-
,F ADDRESS
�f �
COUNTY EXPIRES L'��iE.�%I ,,.y LOCALITY s
Jf. NEAREST / P1�1 / ./p /5T
PERMIT FEES CROSS BT. h_ /� ��
NUMBER TYPE OF FIXTURE CR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) Q Q� _ $ e�+��� ADDRESS
BATH TUB @ OOssO'" 5, - CITY TEL. No.
m SHOWER a 0.50 I HEREBY ACKNOWLED E THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
/ KITCHEN SINK Q 0.`5d '�, AND STATE LAWS RCGULATING PLUMBING.
p I CERTIFY THAT 1 OBSESS THE ABOVE VALID LOS
LAUNDRY TUG OR TRAY @
Q ANGELES COUNTY L �, OR 1 AM TH EOAL OWNER
OF THE RESIDENTI ERTY SCR D ABOV
GAB SYSTEM nUTLETB @ 11-8 C� SIGNATURE OF
WATER HEATER Inn PERMITTE !/
SLOP BINK 0 13.50 INSPECTION RECORD
FLOOR SINK 0 O.SO
FLOOR DRAIN @ 13.50 -�•n /^�I�,. �..'f�W r� +.,.,
DISHWASHER @ D.SO ��ea r'�'`? _ - y_ L
DRINKING FOUNt'AIN 0 13.513
URINAL 12 0.50
HOUSE SEWER Q 0.913 Z
MISCELLANEOUS O
O
APPROVALS
DATE INSPECTOR'S:?TAME
ROUGH PLUMBING
r ' f,,r' N .J•
GAB PIPING _/'I� >' +.'.•i
GAS VENT f rF
CESSPOOL J,6 1.130 CESSPOOL
SEPTIC TANK: / SEPTIC TANK
DRAIN ( ) PIT ( ) a 7.00 SEWER ' /
PERMIT B 1.00 GAS rEV�
UTILITY CO.NOTIFIED
NOTAL FEE % 71 ZYFINAL
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