HomeMy Public PortalAbout10224 GREEN ST_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
: DIVISION OF BUILDING & SAFETY
PLUMBING '
WILLIAM J. FOX, County Engineer
PERMIT NU.
FOR APPLICANT TO FILL IN DISTRICT D. ROUP Z N_
PLUMBER ECEIVED BY READY FOR DATE IS UED
FIRST INSPECTION •� `
ADDRESS �' `3C: Z v`
BUILDING D ry_ �
CITY TEL No. ADDRESS /
COUNTY LOCALITY i • `-.
LICENSE NO. EXPIRES
' NEARESTj 11
PERMIT FEES CROSSST. CL L✓
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) Q O. O $ t: ADDRESS 14P
BATH TUB O. O ` 6 CITY i 1 TEL. NO.
!jsW-"j ns
SHOWER @ O. O 1 HEREBY ACK WLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) O, O APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 010 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.o i"e ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEMOUTLETS ® O. O OF THE RES ID NTIAL OPER ESCRI BED ABOVE.
-1- _ y
SIGNATURE
WATER HEATER a 5O - c' PERMITTEE -
SLOP SINK @ .50 INSPECTION RECORD _
FLOOR SINK Q 50
FLOOR DRAIN@ 0150
DISHWASHER O SO Z /r' „/ �,',' /�,-_ll'�L•
i
DRINKING FOUNTAIN @ 0150 - •'<r'r-' r'
q _
URINAL Crl? D. O J,a! Q
HOUSE SEWER ® O. O - - 2
MISCELLANEOUS _
O
C �
.C.t
APPROVALS
DATE, INSPECTOR'S NAME
ROUGH PLUMBING rl y
GAS PIPING
OAS VENT
CESSPOOL 0 1.D0 CESSPOOL
SEPTIC TANKS SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT . . . I 1.00 GAS TEST
C7<> UTILITY CO.NOTIFIED
TOTAL FEE
7GA667 DBS#17 10/52