HomeMy Public PortalAbout6210 HART AVE_Plumbing__ 76A667 DBS 17 7-51' APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY � �
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DiS RIC GROUP ZONE R .
FOR APPLICANT TO FILL IN �� � , J~
PLUMBER _ /• ���"✓'G" RECEIVED BY READY FOR DATE ISSUED
Fill;?
� FIRST INSPECTION
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ADDRESS _O" ®��r 15,
BUILDING / �/J Q�
CITY � TEL No.
ADDREBS 6'?v
COUNTY
NO. _ O EXPIRES CO 91,44
`_3D' LOCALITY
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS _
BATHTUB @ 0.50 �S CITY TEL No.
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 ORDINANCES. -
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 'ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEM UTLETB @ 0.50 OF THE RESIDENTIAL PROPERTY DEyK
ED ASOO/Vg.
SIGNATURE OF �� sem' ,D
WATER HEAT R @ (3.513 PERM PERMITTEES
SLOP SINK @ 0.50 - INSPECTION RECORD
FLOOR BINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.'50
DRINKING FOUNTAIN @ 0.50 - /� ,/�/ I'
URINAL 0 O.SO - r 1,3JL Z C-9-2-ELl .DMV Iy Q
HOUSE SEWER @ 0.50 s L'���� Z
MISCELLANEOUS vjG d` �L �. .��,.�✓. O
v D
Ot-
Ir� l✓a�r sFr_.
APPROVALS
DATE INSPECTOR-9 NAME
ROUGH PLUMBING
GAf3 PIPING
GAS VENT
CESSPOOL @ 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00
GAS TEST ��/V�� d- 1572 hn
• UTILITY CO.CO.NOTIFIED "y-
TOTAL FEE $
FINAL