HomeMy Public PortalAbout9606 LEMON AVE_Plumbing__ 76A667 DBS 17 11-50 APPLICATION FOR PERMIT '
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
�- -A„ COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NO. GROU PERMIT INLJ.
FOR APPLICANT TO FILL IN I � /
PLUMBER RE` IVED BY READY FOR DATE ISSUED
v G FIRST INSPECTION
ADDRESS
' BUILDING ✓
CITY TEL. No. ADDRESS
COUNTY CALITY
LICENSE NO. EXPIRES 0
a NEAREST
PERMIT FEES CROSS ST.
NIIMSER TYPE or FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 S i ADDRESS
I
BATH TUB 0.50 It CITY TEL. No.
SHOWER @ 0.50 I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE iB CORRECT
AND'AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 1 AND STATE LAWS REGULATING PLUMBING.
1 I CERTIFY THAT POBSEBS THE ABOVE VALID LOS
LAUNDRY TUB O AY @ 0.50 ANGELES COUNTY L E, OR 1 AM THE LEO OWNER
1 OF THE RESIDENTIA OPER D B�R ED OVE.
GAB SYSTEM OUTLETS @ O.SO
SIGNATURE OF
WATER HEATER @ DISC PERMITTEE.
SLOP SINK @ 0.50 INSPECTION RE' RD
FLOOR SINK Q 0.50
FLOOR DRAIN Q 0.50
DISHWASHER 0 0.50
DRINKING FOUPLTAIN 48 0.50 }�aH4'64;'va
URINAL Q 0.50
HOUSE SEWER 0.50
MISCELLANEOUS
i
3 P
APPROVALS
DATE INSPECTOR'S NAME
_ ROUGH PLUMBING
GAS PIPING 14-,V14
GAS VENT
CEBSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN C ) PIT ) 1.00 SEWER
PERMIT I 1.00 GAB TEST
UTILITY CO.NOTIFIED
TOTAL FEE B m, 3
FINAL
1