HomeMy Public PortalAbout9838 LIVE OAK AVE_Plumbing__ APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
/'3 S � J�l -5-3,5-6 �
PLUMBER J li�^'d / ��I RE EIVED BY READY FOR DATE ISSUED
1 FIRST INSPECTION ^ y�
ADDRESS f-• W///L �/d a-., e--
-1-' BUILDING
'V /�' F CJ
ry _ BUILDING
CITY Te iy 10/e 01 1/ TEL NO 7 ,41 /7, ADDRESS 7 6 V'
LICENSE NO 1Co COUNTY A16 EXPIRES U -� LOCALITY e ft'1 �E'- C ! y/
NEAREST.
PERMIT FEES CROSS STq
OWNER
NUMBER TYPE OF FIXTURE OR ITEM FEE
MAIL
WATER CLOSET (TOILET) Q 5 DADDRESS
1
BATHTUB Q OW I go e7. o I CITY TEL NO.
SHOWER Q O Vo I ' HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Q O O go APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK Q O D a o 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O 4, b ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
I, OF THE RESIDENTIAL P OPERT DESCRIBED ABOVE.
GAS SYSTEM�OUTLETS Q O.50�l_LDO �^O
SIGNATURE OF
WATER HEATER O 5 /DO h TE� PERMITEE 7
SLOPSINK Q O s INSPECTION RECORD
FLOOR SINK Q O 50
FLOOR DRAINO
DISHWASHER�O S
S I
DRINKING FOUNTAIN S O 50
1 URINAL Q O 50
HOUSE SEWER Q O 50 Q
MISCELLANEOUS U'
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
� v-
GAS VENT
CESSPOOL Q 1 001 CESSPOOL
SEPTIC TANK SEPTIC TANK
I DRAIN ( ) PIT ( ) Q 7.00 SEWER
PERMIT . I 1.00 GAS TEST
UTILITY CO NOTIFIED �f
TOTAL FEE $ -
FINAL
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