HomeMy Public PortalAbout9606 LOWER AZUSA RD_Plumbing__ M007 n 8-60 lb APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX, CHIEF ENGINEER
FCa.APIRWf9T TO FILL IN DISTRI O GROUP ZONE PERMIT NO.
�9
PLUMBER( RECEIVED BY READY FOR DATE ISSU D
i1 C_ FIRST IN ION //
w.
SZ-
DDRESS
BUILDING
CITY = TEL NO ADDRESS 11 `C
COUNTYLOCALITY
LICENSE NO Opy EXPIRES
NEAREST �1 R
PERMIT FEES CROSS BT
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET TOILET 030 S ADDRESS
BATH TUB O SO CITY TEL NO
SHOWER O 30 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY WASH BASIN) O SO APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN BINK O SO STATE LAWS REGULATING PLUMBING_
I CERTIFY THAT I 688 fi ABOVE VALID LOS
LAUNDRY TUB OR TRAY rBl O 80 ANGELES COUNTY C 6 OR AM THE LEGAL OWNER
OF TH6 RESIDEN P TY BED ABOVE
GAS SYSTEM OUTLETS a O SO SIGNATURE OF
WATER HEATER a O SO PERMITTE #
SLOP SINK ® O SO INSPECTION RECORD
FLOOR SINK O SO
FLOOR DRAIN 12 O SO `
DISHWASHER a O SO
DRINKING FOUNTAIN 050
URINAL a O SO aJ
HOUSE SEWER 050 I z
MISCELLANEOUS
O
APPROVALS
DATE INSPECTOR D NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Cry loo CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1 00 SEWER
PERMIT 1 GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE 8
FINAL