HomeMy Public PortalAbout10132 GREEN ST_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer PLUMBING
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
MIT r4u.
F❑R APPLICANT TO FILL 1 DI GROUPSON RL/AC�>^
PLUMBER '.� .. ! t„ ir RECEIVED BY ^y READY/F'10R DATE ISSUED
�1 FIRST INSPECTION
ADDRESS �pVIP—
BUILDING �+
CITY bti.ow,.+� TEL NO 't ADDRESS /G �� F�r .•+�.✓'�'At
COUNTY LOCALITY .,.
LICENSE N0. I EXPIRES
NEAREST
PERMIT FEES CROSS ST. _
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER „v ,iR '.Je ,.- •
MAIL
WATER CLOSET(TOILET) 0.50 $ r ADDRESS ��+"� .:" - Q'.= •� 4. t y� p
BATH TUB � 0.50 _S�� CITY P TEL NO. ��'!� f .
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 ORBINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY ,-`(� 0.50 6 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTI PROPE TY DESCRIBED ABOVE.,
GAS SYSTEM_-I—OUTLETS @ 0.50
r PERMITTEESIGNATURE OF
.r
WATER HEATER Q 0.50 1.�
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50 -J
HOUSE SEWER Q 0.50 Z
MISCELLANEOUS
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING v
v
GAS PIPING
OAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
GRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT .
1.00 GAS TEST 41 11
UTILITY CO.NOTIFIED
TOTAL FEE /J
FINAL
76A667 DBS#17 10/52