HomeMy Public PortalAbout4843 HELEO AVE_Plumbing__ 76A667 DBS 17 1;-SO - - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING ARID SAFETY em
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT O. GROUP ZO U.
FOR APPLICANT TOS FILL� IN �`/ 4'19 5'3
PLUMBER��. 9171, 'isC��., 'L'"'C� REC� 'TED BY READY FOR DATE ISSUED
J kC �� �� FIRST INSPECTION
ADDRESS _
i
BUILDING
CITY. ,i/ -4V-J�r ,/ TEL. No. ADDRESS
COUNTY EXPIRES LOCALITY
LICENSE NO.
PERMIT FEES
NEAREST
ROSS T.
NUMBER TYPE OF FIXTURE DR ITEM FEE
OWNER 1 _ �e� �l�'"✓'�•'m
MAIL
WATER CL09ET(TOILET) @ 0.50 Ili ADDRESS
BATH TUB @ O.So S" CITY ,bl �/,!%�r', a TEL No.
SHOWER @ 0.50 1 HEREBY4ACKNOWLE4GE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) ,@ 0.50 i APPLICATIONiiiiiiAND -
ND THE ABOVE 19 CORRECT
AND AGREE TO COMPL WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 'S� AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
.y OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
f GAS SYSTEM OUTLETS @ 0.50 �f
SIGNATURE
WATER HEATER @ 0.50 S, PERMITTEDEE OF
/+i--Z.aa'� -✓'a'... �� '' �`•� raj
SLOP SINK @ 13.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER ((d! 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 JQ
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS G
S4, Ala if
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING QA
GAS PIPING
GAS VENT 9
CESSPOOL @ 1:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I t.Do GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL t='S'evL!
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