HomeMy Public PortalAbout9942 LIVE OAK AVE_Plumbing__ 76Al87 n��era9 ® - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICS O. GROUP I ZONE PERMIT NO.
A4.51 r
PLU MBEFONTA NI A DI 1 M13ING CONTRACTOM
RECEIVED BY READY FOR DATE ISSUED
A !VV U FIRST INSPECTION
ADDRES�A 4 W. Garvey Monterey Park, Call£JW BU LD
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CITY AT18nt>tc TEL NOmber�3- ADDREISS
COUNTY LOCALITY
LICENSE NO EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL om
• �
WATER CLOSET (TOILET) p O 50 $ I ADDRESS
_Z BATH TUB Q O Sol I CITY TEL NO.
�1 SHOWER Q O 50I 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Q O 50 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 50 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OF TRAY Q O Sol ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PRO SCRIBED ABOVE.
GAS SYSTEM OUTLETS Cay O 50 I SIGNATURE OF
WATER HEATER Q O 501 PERMITTEE
SLOP SINK p o so INSPECTION RECORD
FLOOR SINK Q O s0
FLOOR DRAIN Q O 50
DISHWASHER Q O Sol
1 DRINKING FOUNTAIN Q O Sol
IURINAL Q O 501 J
HOUSE SEWER Q O Boll I Q
Z
MISCELLANEOUS 2
I�
1 APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
1 GAS PIPING I�
1 GAS VENT I
CESSPOOL p 100 I CESSPOOL
SEPTIC TANI(' I� SEPTIC TANK
DRAIN ( ) PIT ( Q 1 00 I SEWER
PERMIT . . I I Do - GAS TEST
TOTAL FEE
UTILITY CO NOTIFIED
R I $ O`
FINAL
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