HomeMy Public PortalAbout9222 KEY WEST ST_Plumbing__ .76A0V DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRI[CTP ZONE
FOR APPLICANT TO FILL IN 7, �r
PLUMBER �` ' � t RECEIVED BY READY FOR DATE ISSUED
�' FIRST INSPECTION // /
ADDRESS _
�i BUILDING
90�
CITY 9� TEL NO� a OYAf ADDRESS
COUNTY �9 LOCALITY
LICEN4E NO. / EXPIRES O d0
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER
MAIL
WATER CLOSET(TOILET) 0.50 III ADDRESS �}
BATHTUB @ 0.50A-*,CITY` TEL. F
SHOWER @ O.SO —,I HEREBY ACKNOWLEDGE THAT 1 _HAVE_ READ THIS _
LAVATORY (WASH BASIN) Q 0.50 - APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY (B 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY D BCRIBED ABOVE.
GAS SYSTEM OUTLETS Q O.SD
SIGNATURE OFe 't�+ '��
_ WATER HEATER 0.50- PERMITTEE _
GLOP BINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50
Q
HOUSE HEWER 0.50 Z
MISCELL&NEDUS I9
O
APPROVALS
pDATE INSPECTOR'S NAME
ROUGH PLUMBING A'
GAB PIPING
GAS VENT �joZ
CESSPOOL @ 1.00 CESSPOOL ,lam
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT .
I 1.00 GAS TEST
UTILITY CO.NOTIFIED h
TOTAL FEE s
LjI s J
POP-
r
FINAL � �