HomeMy Public PortalAbout9072 HERMOSA DR_Plumbing__ j96L669.DB919 11-60 APPLICATION FOR PERMIT
--DEPARTMENT OF BUILDING AND SAFETY �'
COUNTY F LOS ANGELES
WILLIAM J.. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTR O. r.MUUPj Z13NE: .
PLUMBER �E/,��Q rQ y PLu��p�S RECEIVED'wB.YREADY FOR qTE' ISSUED
D N✓v FIRST INS PE CTION w
ADDRESS ��S � Br�Osi�WA\/
/' f!T BUILDING [)O .7 /-I Gi2MOSA
CITY 4�y G,�J TEL No. �Q3 g ADDREB9 ' / - - �+
COUNTY Q LOCALITY / . C
LICENSE NO. EXPIRES
N EARE6T
PERMIT FEES CRDSS ST
NUMBER TYPE or F,%TIRE OR ITEM FEE OWNER (0?• de.
MAIL
WATER CLOSET(TOILET) a 0.50 7 /100 ADDRESS
BATHTUB @ 0.50 CITY TEL No.
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 O APPLICATION AND STATE THAT THE ABOVE 16 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 O 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
` OF THE RESIDENTIAL PROPERTY DEBCR BED ABOVE.
GAS 9YSTEM�LOUTLET9 @ 0.50 Q
SIGNATURE OF
EE
WATER HEATER @ 0.50 � PERMITTEE
SLOP BINK @ 0.50 INSPECTIONRECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER ® 0.50 �7 !� G / /.
DRINKING FOUNTAIN @ O.SO /— •J J /- SNA-1 r1 A .C—
URINAL @ 0.50 .r - o,=LA-T L l'APD
HOUSE SEWER @ 0.50 Q /�'+. Z
MISCELLANEOUS 63
APPROVALS
DA,.TE INSPECTOR'S NAME
ROUGH PLUMBING LL 4a5 /
GAS PIPING
GAS VENT F
CESSPOOL @ 1:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER //���� �7 2-q .
-,
PERMIT 1.00 GAB TEST /T /- 2-/; //1V/yL9
UTILITY CO. NOTIFIED r7 _9e. .. .
TOTAL FEE S 6 r/ ",a.U v r> r�.+/.V y1f.
/ FINAL
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