HomeMy Public PortalAbout9167 JAYLEE DR_Plumbing_6/22/1951_cesspool 76A667"OBS 17 11-50 - APPLICATION FOR'PERMIT ..
DEPARTMENT.OF BUILDING AND SAFETY.
COUNTY.OF LOS ANGELES
WIL-LIAM'J.'FOX, CHIEF ENGINEER -
PERMIT
-FOR`APPLICANT TO FILL IN DIST�' R UP i
�PLUMBER(/J �/r: J, C_Q , - -RE BY READY FOR p�TE ISSUED
�`
FIRST INSPECTIONBUILDING
/
ADORES
1
!/f. ADDRESS /
CITY t+ ,ges ,[. �` TEL. Na. p',,,—�'3,s �•: A t_mss/1w
COUNTY.' -
•LICENSE NO. �' EXPIRES LOCALITY Gases
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER
MAIL
WATER CLOSET(TOILET) 0.50 s ADDRESS
BATH TUB 0.50 CITY TEL No. ,1
-" 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 � AND STATE LAWS REGULATING PLUMBING.
.� 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OAS SYSTEM OUTLETS @ 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
. _
SIGNATURE OF .400
-
WATER HEATER @ 0.50 PERMITTEE -- �+�+r�
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK • ',@s•.0.50
FLOOR DRAIN @. 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50 '
URINAL @ 0.50 J
_ - Q
HOUSE SEWER @ 0.50 - Z_
MISCELLANEOUS '•r d
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
-_ GAS PIPING
GAS VENT
CESSPOOL @ 1:00 9 (f CESSPOOL n (��JA
A'S�`/I
SEPTIC TANK: SEPTIC TANK `I Il
DRAIN ( ) PIT ( ) @ 1.00 SEWER v , f
PERMIT d� ( 1.Do `"3 ions TEST
UTILITY CO.NOTIFIED ' n
TOTAL FEE $� 0 .
FINAL