HomeMy Public PortalAbout9516 LONGDEN AVE_Plumbing__ 76AG67 17 8-49® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
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COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN LDICT NO. GROUP NE PERMITNO.
PLUMBER ' +l ��i �,, ' IVED BY READY FOR DATE ISSUED
wd FIRST INSPECTION �j
ADDRESS es•�� f b��' f
UILDING �^
CITY ?�? ' ► TEL. NO �a ADDRESS c,..•
COUNTY
LICENSE NO. EXPIRES LOCALITY
NEAREST
PERMIT FEES CROSS ST.
OWNER v Lae `" f
NUMBERrLAVATORY
TYPE OF FIXTURE OR ITEM FEE � _
MAIL ' j�
R CLOSET (TOILET) 0.50 $ ADDRESS �./tpEr,
Y
TUB 0.50 CITY TEL. NO.
ER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
(WASH BASIN) Q 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
HEN SINK ® O.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I P ES THE ROVE VALID LOS
D Y TUB OR TRAY 0 O.SO ANGELES COUNTY I CEN O AM T E LEGAL OWNER
OF THE RESIDENT. IBP PERT Di.ABOVE.YSTEM OUTLETS O.SO >SIGNATURE �r�'i�ER HEATER (� 0.50 PERMITTE =J114.
SLOP SINK 0.50 'INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN 0 O'.50
URINAL @ 0.50 F
HOUSE SEWER ® 0.50 V
MISCELLANEOUS j
a
0
APPROVALS
DATE INSPECTOR'S HANK
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL ® 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT.( ) 1.00 SEWER
PERMIT . 1.00 GAS TEST
TOTAL FEE $ � UTILITY.CO. NOTIFIED
FINAL