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COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Dwartmeni of County EnOnew
DMSION OF BUII.DING 8c SAFETY
WILLIAM J. FOX, County Eaolmwr PLUMBING 1
FOR APPLICANT � Ily �j
PLUMS[ crr 4fyr'�IY� FIRr�Ypan QN DATE/GIM+Jro/
ADDREM
■UILDIN13 1 ''
DITY Gs/� TEL.N Bre ADDRIMildl
COL_lrUNTY �' LODALITY O
EXPIREN 1 RAR[YF
0
FEE$ RD89 BT.
H11MNKR TYrK OF rIXMFM 13M ITLM FC[ OWN[R e
MAIL
WATER DL30KT(TOILET) 0 ADD R[SA
RATH TUB 0 CLOD DITY /`(-,6 ' TIL. N ,L'
■HOWZR • 0.60 1 HERE■Y AOKNOWL[DO[ THAT I HAVE READ THIS
LAVATORY (WAlaH SARIN) 0 0.50 APPL1DATION AND ATAT[ THAT THE ABOVE IS CORRIOT
AND AnNE[ TO DOMPLY WTTH ALL COUNTY ORDINANCES
KITOH[N OINK CLOD AND ATATZ LAWN R[GULATINO PLUMBING.
1 Q[IlTIFY I T /► IOw VALID LDH
LAUNDRY TUS OR TRAY 0 0.60 ANGELES 3 U IQGNS R I TH[ 1 coil OWNx!
Dr THE REMID PR ORIR[D ABOVE.
OAR weT[M n uTl�ro MSO
AIGNATiJRY Dr F 4• F' ���*�{
WATER HEATER 0.150 P<RM -
OLJ7P SINK 0.W INSPF.CTI N RECORD
FLOOR RINK O CLOD
FLOOR DRAIN 0.60
DIAHWAHHKR CLOD
DRINKING FOUNTAIN CLOD
URINAL [LED
NOUS[ SKvf" 0.W
MISQdLAMEOW
Q'
0
APPROVALS
DATE IMnr[OTO11I■ NAMK
ROUGH PLUMSINO
O&A PIPING
DAA VENT
OEBEPOOL O 1.00 C[GSPOOL
S[PTTO TANKI SEPTIQ TANK
DRAIN ( ) PIT ( ) f 1.00 ■K1MER
PERMIT
OAS TROT � a
T.Do _
UTILITY O0. cmrl[D �-
TUTAL FEB * /
~ FINAL
TEArNT DBB#It 17 E-6=
°" APPLMATION FOR PER_11ATT
DEPAHOF BURRING AND SAF=
COUNTY OF LOS ANG=S PLUMBING i
WILLIAM J. FOX, OHIEr ENGINEER
F R APPLICANT TO FILL IN DISTIRICT NO. GROUP-1 ZnNE rr N13.
I �7 re
L
rUM.[R ed. `� READY F'CR
APORa. ,S'S S'S'= . G` a c e waw Rm �7 FIRiT IItaP[CTION oA � � S L
TIL No • ■UILDIH
ADDRpr
J
COUNTY m+ ,OICA ITY
_ PER]UT FEE$ oRDrE rr. d� 7
Nu�,ra�J TYIs or rLxTunI oR,TCM rEE OWN<R 6(d�( •h� �/q
WA�rEx OLOwET(TOILET) ! 0.W 0 MAIL
ADDRms /��
OATH TU.5 O.fD CITY C� l TIL No.
■ROWER COD1 H RIQY ACKNDWLEDOE THAT I HAVE READ THIO
.1 LAVATORY (WAAH RUIN) D.6D APrL1XTION AND XTAT C THAT THE ARDVE IN CORRECT
AND AORIM TO COMPLY WrrH ALL COUNTY ORDINANCE!♦
KITCHEN RINK CLOG AND STATE LAWS! ULATIN13 PWM ENO.
1 CERTIFY TH AHOVE VALID LOU
LAUNDRY TU■ OR TRAY 0 0.513AN3EUUl,
N I THE Lrr+A, OMRiER
OF THE RUDE ka OWNED ARCM
OAR mYuTlcM OUTLETm a C.60
■IONATURit OF GJI
WATER HEATER CLOD PER
FLOP ■INK a60 MSPECTMI RECORD
FLOOR MINK Q man
FlAOR DRAIN 0.60
D I N HWAR H EA ELlm
DRINKING FUUNITAIN 0 0.150 ��'�
URINAL 0 mao -I
t
HOLMM MCW[R •
MIROELLAMIOLM
O
APPROVtLLS
TE IKNPM3-IMlr8 NAMT
ROUGH rLUMEINO D
MAN PIPINO
OAF VEMT
C[rT+OCL � l,pC O[1�DCL
NEPT10 TANKS SEPTIC TANK
DRAIN ( PIT ( 1.DD ■EWER
PQRMIT . . . . . . MABI TEST
TOTAL FEE * �U UTILITY DD.NOTIFIED
�� FIMAL
D.S. 17 25M SETS 12-43 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
OF LOS ANGELES
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZO E PERMIT NO.
I ROUGH FIXTURES COMPLETE
HEATER CESSPOOL -I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
GAS MISCELLANEOUS
sm
APPLICANT FILL IN IIEAVILY OUTLINED PORTION ONLY
JOB
NAME ADDRESS
W
6: ADDRESS LOCALITY
a
NEAREST
CITY TEL.No. CROSS ST.
{L
COUNTY
CERT.No. EXPIRES NAME
W
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
m
OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK z
_z
BATH TUB FURNACE _P
(Y
SHOWER DISHWASHER Q
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SANDTRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
i
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT ( I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI SEPTIC TANK SEWER
SI i
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
D.B.S.-17 25M SETS 12-45 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �����'��
COUNTY OF LOS ANGELES
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP; ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE _
HEATER CESSPOOL I-I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION �
GAS MISCELLANEOUS
APPLICANT FILL IN PEAVILY OUTLINED PORTION ONLY
JOB
E NAME ADDRESS CK6_
W _
g ADDRESS e12L!
^`- LOCALITY0 '02NEAREST
d CITY i.. No. CROSS ST.
COUNTY
CERT.NO,_ � EXPIRES W NAME �✓'P✓
LOCATION OF SMPTIC TANK, OR CESSPOOL z MAIL
3 ADDRESS
NORTH O
CITY {„�� TEL.No.
IAM TH! LEGAL POSSES OR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICA UALI N.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRI9ED
ABOVE.
3 � owwaR
CORRECTIONS
SOUTH
a
DESCRIPTION OF WORK --
MATH TUB FURNACE
H
SHOWER DISHWASHER G
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK RAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE 1 ►ECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I '
-METER-1-GAB SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL I I
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL- SEPTIC TANK SEWER
I I $ �
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
D.B.17 BM SETS "3 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE
PERMIT NO.
ROUGH FIXTURES COMPLETE
READY FOjt DATEISSUED
EC
HEATER CESSPOOL RECEIVED BY Irl SEPTIC TANK FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB fi
NAME / %, ADDRESS s
W
M m ADDRESS Z LOCALITY
A NEAREST
IL CITY TEL.No. CROSS ST.
COUNTY
CERT.No. EXPIRES W NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
3 ADDRESS
NORTH 0
_ CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
1
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
>
ri OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK a
_z
BATH TUB FURNACE (3
(r
-SHOWER DISHWASHER 0
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
j FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
i
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAB SODA FOUNTAIN
OUTL GAS PIPING I
GAS VENT I I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI- SEPTIC TANK ` U SEWER
sI
� I TOTAL FEE ` Uf! UTILITY CO.NOTIFIED + I
— "
FINAL