HomeMy Public PortalAbout5340 MCCULLOCH AVE_Plumbing__ 7SASS7 DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT
/7d'93
PLUMBERddoy'j � RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
a BUILDING " �^
CITY CCU TYC TEL.N 9 ®� ADDRESS —+
LICEN E NO. C{r9 �J EXPIRES �O `� s�`'' LOCALITY 6 e
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL /��//
WATER CLOSET(TOILET) 0.50 S ADDRES5v
® BATH TUB 0.50 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 IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50
AN COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
GAS SYSTEM_ OUTLETS 0.50 OF THE RESIDENTIAL P OPERTY DESCRIBED ABOVE.
WATER HEATER 0.50 SIGNATURE
P RMITTE
SLOP BINK Q? 0.50 INSPECTION RECORD
FLOOR SINK 0 0.50 _
FLOOR DRAIN 0 0.50
DISHWASHER 8 0.60
DRINKING FOUNTAIN Q 0.50
URINAL Q 0.50 ----------------
HOUSE SEWER @ 0.60 �� L L f 12 o- v 1✓a"� c G? . Z_
MISCELLANEOUS ( � mer e 0
R'
O
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W 04 / � W /id.r I
11-- 17- CdR►T, )Nxi0a—
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 7.00 SEWER
PERMIT 1.00 GAS TEST �C !N� �--L –C
TOTAL FEE S �..--
�� UTILITY CO.NOTIFIED �� 'FINAL 47-