HomeMy Public PortalAbout6132 HART AVE_Plumbing__ 7SA667 DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING ARID SAFETY
COUNTY OF LOS ANGELES �}�nJf
WILLIAM J. FOX, CHIEF ENGINEER v �a
FOR APPLICANT TO FILL IN D TR O. GR P ZON RMI NO:".
PLUMBER Vy �. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS (p Y )y(3.
,) �tFas BUILDING
CITY F'iP`�J �LL i %11 11 TEL No.�`Y L'�o '�y ADDRESS 5i+yb�. cN► •'
COUNTY LOCALITY c M 4�4 P, lt!_ IT
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LICENSE N0. EXPIRES NEARE
SPERMIT FEES CROSSST.B �
U!/,�It-aR.�. IGS• FdJ-7' d�d� (d Y'rt R�elf
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL ® as J
J WATER CLOSET(TOILET) @ 0.50 $ t ADDRESS (n J �, /Y.A CD ES Rqa A6
/ BATH TUB @ 0.50 �+� CITY / flt4)2 B,.'It� �r l I Y TEL. N0.(} r
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 IC-J AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB- OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OUTLETS @ 0.50 bOF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
OAS SYSTEM
ria SIGNATURE OF ��, b • � 7�tiArM,
�- WATER HEATER @ 0.50 � Er PERMITTEE.-.-•-'� _
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SLOP SINK @ 0.50 - INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ O.SO
URINAL @ O.SO
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HOUSE SEWER @ 0.50 z
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MISCELLANEOUS '
APPROVALS
DATE'1 INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT I,�� li 17W 1M
CESSPOOL @ 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER R�✓�;1 q "{
PERMIT .
I 1.0p GAS TEST
UTILITY CO.NOTIFIED I h_I 1 ie /'john_
TOTAL FEE
FINAL
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