HomeMy Public PortalAbout9073-9075-9077 LYLEDALE ST_Plumbing__ COUNTY OF Los ANGELES APPLICATION FOR PERMIT
Department of County Engineer � '
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
DISTRICT NO. GROUP ZONE ER
FOR APPLICANT TO FILL IN
PMIT NU
LUMBERRECEIVED ' READY FOR DATE' ISSUED
FIRST INSPECTION
ADDRESS ' �.
BUILDING f� ��
CITY TEL NO. , ADDRESS
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COUNTY ��ii LOCALITY lot; G7
LICENSE NO. OC 3 EXPIRES —'r
PERMIT FEES
NEARESTRT
r
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Zoe -
MAIL
WATER CLOSET(TOILET) 0.50 $ `�, _ADDRESS
BATH TUB @ 0.50 _2- 40 CITY TEL NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50G ANGELES COUNTY LICENSE, OR I AM THE LEIYAL OWNER
OF THE RESIDENTIAL PRJaAERTY 9ESPRIBE=D KBOVE.
13A9 SYSTEM__$_7OUTLETS @ 0.50
SIGNATURE OF v,
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS E7
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING J
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEEIli 14
;2 (1L
, 'i''FINAL
76A667 DBS#17 10/32