HomeMy Public PortalAbout6010 HART AVE_Plumbing__ 76AG67 DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBNWN
' APPLICANT ILL IN
DISTRICT O. GROUP ONE PERMITNO.
fjp%PLUMBER RECEIVED BY, READY FOR DATE ISSUED
FIRST INSPECTION GIN'P• iv
ADDRESS al ,
BUILDING A^ 6 �e
CITY L TEN c ADDRESS
CDUNTY L
LICENSE NO. O � - EXPIRES V �� r LOCALITY
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 `>3 ADDRESS -
BATH TUB @ 0.50 CITY TEL. No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 Jrd APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWB REGULATING PLUMBING.
( CERTIFY THAT I POSSESS THEABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O.SO ANGELES COUNTY LICENSE, OR I THE LEGAL OWNER
GAS SYSTEM OUTLETS @ 0.50 OF THE RESIDENT PR RTYRIBED ABOVE.
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE-
ISLOP @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50 -��•-- ®� _
URINAL @ 0.50 i� G
HOUSE SEWER @ 0.50 nn�/� Z
MISCELLANEOUS - O
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING 23
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERM IT I 1.00 GAS TEST
�p UTILITY CO.NOTIFIED
TOTAL FEE `B D off'
_a FINAL