HomeMy Public PortalAbout5563 GRACEWOOD AVE_Plumbing__ 17 I1-SO APPLICATION FOR PERK=
AHTMENT OF Hva.nnQG AND SAFETY PLUMB 1 N G i
COUNTY OF LOS ANGELES
} WILLIAM J. FOX, CHIEF KNOIHEER
FOR APPLICANr TO FILL IN .5� shy_ I -
PLUMBER RKO[rytD NY READY FOR DATE IMSUKD
I FIRffT l?4=.KOTIOH O
i
ACOREAS O D /NLtl O
■UILDIMO
CITY S.4 , TEL No. SV C Y307 ADDRKAB _
COUNTY
8 LOCALITY ,f C
�
B.�p� N EAE![BT
PJ1 FEM CROM ST.
mummim TYFK OF FD[TURI OR ITKM FEK OWNKR lk� .E.O ! LL 4L4,)
MAIL
WATER oLmarT(TOILET) • 0.so # O ADDREr
LATH TUB • 0.60 CITY TEL. Ho.
SHOWIER • 0.s13 I HEREBY ADKHOWLEDOK THAT 1 HAVE READ THIN
LAVATORY (WASH BASIN) • 0.60
APPLICATION ATIN AHD STATE THAT THE ABOVE 10 CORRECT
D
AHD AORKE TCOMPLY WITH ALL COUNTY ORDIN PION
0. RO
KITCHEN MINK • 1913 AND ATATIE LAWN EULATINO PLUMBING.
1 OKRTIFY THAT 1 POM[BS THE ABOVE VALID LOA
-run UN OR TRAY • 0.60 ANO
KLES COUNTY LICIENAK, OR 1 AM THE -LEGAL OWNKR
OF THE RESIDQfTIAL FROPERTY DKSDRJ21 D ABOVE.
Is" wewmm I3UTLETA • 0.60
■IONATUR[ OF cl
WATER HEATER • 0.60 PERMI
■LOP MINK • MBO INSPECTION BEMI D
FLOOR ■INK • 0.SO
FLOOR DRAIN • OL1513
DIBHWABHKR • 0.60
DRINKINO FOUNTAIN • 0.60
URINAL • 0.60
HOUNK ■KWKR • 0.s0 _
M1AOKL-"ECU■
O
APPROVALS
DATE IN R'f MAMK
RO OH L
OAA PIPINO
OAS VENT d3
CESSPOOL • 1,'OC C[EBP00L
SEPTIC TANKi SEPTIC TANK
DRAIN ) PIT • 1.00 SEINER
PERMIT 1.00 MAIN TEST J L S
UTILITY DO.NoTIFIm
TOTAL FEE # S
76AAMN7 CHM 17 11-sa APPLICATION FOR PERT
DEPARTMENT OF NG AND SAFETY PLUMBING
. �
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX. OHI[F [NOIN[ER
FOR APPLICANT TO FILL IN
PLUMR[R RICE my R[ADY FOR DATE 1 m E. HUNIINGION DRIVE r4A^
223 FIRlT IN�PE13TION /
■UILDING / r
CITY TIL.No. ADDRgR
aOUNTY LDQAUTY
��p��� H I"MET
PERMIT FEES ORO!!RT.
NUMBER TYPIC DF rTxTUR%OR MEN FEE OWNER
MAIL
WATIR OLOKT(TOI 0.60 * ADDREOO
BATH TUB • 0.80 131TY TIL No.
■HOWER ! 0.813 1 HERItY AOKHONRiDOE THAT I HAVE READ THIS
LAVATURY (WAlH OAHIN) 0.60 APPLICATION AND OE Oi TATTHAT TH[ AOV12 DOARIOT
AND AGRQ TD COMPLY WITH ALL COUNTY ORDINANOEO
KIT13HKN BINK 0.80 AND BTATE LAWB RIOULATINO PLUMMINO.
1 O[RTiFY THAT I POMMM THE ABOVE VALID LOH
LAUNDRY TUN OR TRAY 0.80 AN3
ELX8 OOUNTY LIOENBE. OR I A Tl-� iEDAL OWNER
OA8 BYBT[�� nUTiE� O OF TH[ RDIDINTIAL 3RGP[RTY D ■tD AJ•
■IONATUR[ OF / t/I .i
WATER HATER 0 CL PLlMITT[
■LOP BINK 0 0.80 INZWECTION RECOND
FLOOR OINK 0 0.80
FLOOR DRAIN 0 0.W
DISHWABH[R 0 0.W
DRINKING FOUNTAIN 41 0.80
URINAL 0.80
HOUR[ S[WiR 0.80 _
MIEC[LLANKCUf
APPROVALS
DATE INlCGTUB'B MAI-6Z
ROUGH PLUMBING
MAN PIPING
OA/ VENT
OEaPOOL 7,00 O C[6tJPOOL
UA3wn D TAN K I d K 4
DRAIN ( ) PIT ( 1.00 OEWER •
PERMIT . . 1.GO MAR TAT
UTILITY 00.NOTIFI[D
rimAL
TIITAL FEE � �
d