HomeMy Public PortalAbout9675 LONGDEN AVE_Plumbing__ 78"6437 17 9-49 ® 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..
PLUmXFn �
NTAN.A PLUMBING CONT RECEIVED BY READY FOR DATE.ISSUED
FIRST INSPECTION
344 W. Garvey - MOntereq Park, Calif. ��`1
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m er an 3.1040 ADDREIN 4 f 7,g-
CITY
TEL. NG. y
COUNTY / % L1� G -x� �. LOCALITY'
LICENSE NO. O t'S ,/ EXPIRES v
- NEAREST� �
PERMIT FEES CROSS ST',. ;,w-�, ,t!-�•t. c i-% I 1 r(/
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
p MAIL.
r
WATER CLOSET (TOILET)- Q 0.50 S p ADDRESS
l BATHTUB 0.501 D . CITY TEL. NO.
SHOWER O.SO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.501 a APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q 0.50 /1+ STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY (� O.50 �'' ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIALP4tOPERTYJ DESCRIBED ABOVE.
GAS SYSTEM 1 OUTLETS ® 0.50
!� SIGNATURE OF
WATER HEATER. @ 0.50 ire
PERMITTEE `-�J"�'`t-�• � 1_ ��,,,�
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK ® 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ '0.50
DRINKING FOUNTAIN 0 -0.50
URINAL Q 0.50
J
HOUSESEWER @ 0.50 Q
Z
MISCELLANEOUS (�
a
0
APPROVALS
DATE IINSSPXCTOR'S NAME
ROUGH PLUMBING Z C..7N PYQ
GAS PIPING
y 1
GAS VENT
CESSPOOL @ I.00I CESSPOOL
SEPTIC TANK: SEPTIC TANK '
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO. NOTIFIED FINAL r o
TOTAL FEE I J l v�vt