HomeMy Public PortalAbout9079-9081-9083 LYLEDALE ST_Plumbing__ 76A667 OBS 17 0-so - - APPLICATION FOR PERMIT
DEPARTMENT OF.BUILDING AND SAFETY
COUNTY OF LOS ANGELES,
WILLIAM J. FOX, CHIEF ENGINEER P L U Ml B I mr4m G
DISTRICT PERMIT Nu.
FOR APPLICANT TO FILL IN N.D. GROUP
Ar
PLUMBER lc�—!? 'READY FOR DATE ISSUED
RECEIVED BY
FIRST INSPECTION -
.. ADDRESS.,�ii9���1 � �� �/f�`�S..kr.xG"•.,;#�li �s,+�„jc�,w�+ OO
d'.9y) n. TEL..No.eE=�(.� BUILDING
CITY ADDRESS
LICENSE NO. e 'Qa EXPIRES (f� LOCALITY- !,s':�,�: ✓ !/ 7/i .
PERFEES c OSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER e
MAIL
WATER CLOBET,(TOILET)- @ 0.50 $ �d ADDRESS
a� BATH TUB @ 0.50
CITY TEL. ,No _-
SHOWER , @ -0.50 - 1 HEREBY ACKNOWLEDGE THAT 1 HAVE 'READ THIS
LAVATORY (WASH BASIN) @ O.SO 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.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY,TUBS OR TRAY @ 0.50 > el 0- ANGELES COUNTY.LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
s GAS SYSTEM-!17--OUTLETS @ O.SO
SIGNATURE OF
WATER HEATER @ 0.50 �Qa PERMITTEE _
SLOP SINK @ o.SO 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
Q'
O
APPROVALS
DATA tNSPECTOR!B NAME
ROUGH PLUMBING
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 FEE
FINAL