HomeMy Public PortalAbout10236 NADINE ST_Plumbing__ TGA667 17 a as® APPLICATION FOR PEE=
DEPARTNNIENNT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN ^ DISTRICT GROUP gE PERMIT NO
PLUMBERRECEIVED EADY FOR _pATE ISSUED
/ FIRST INSPECTION
ADDRESS q,
BUILDING
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CITY TEL NO ADDRESS _
COUNTY LOCALITY S L A. k„\
ICB SEN EXPIRES NEAREST
PmwT FEES CRo88 s t)
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NUMBER TYPE OF FIXTURE OR ITEM FE6 OWNER o✓�"'�"� '! l'��
MAIL
WATER CLOSET TOILET 050 8 ADDRESS
BATH TUB @ 080 CITY TEL. NO
SHOWER a 050 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY WASH BASIN O SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK 050 STATE LAWS REGULATING PLUMBING
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 050 ANGELES COUNTY LICENSE OR i AM THE LEGAL OWNER
OF THE RESIDENT ROPERTY ESCRIBED ABOVE.
GAS SYSTEM OUTLETS O SO SIGNATURE OF
WATER HEATER 050
PERMITTEE s AI � rt'd�
SLOP SINK ® 050 INr ' i'1'ICN R=RD
FLOOR SINK 050
FLOOR DRAIN 030
DISHWASHER O SO
DRINKING FOUNTAIN 050
URINAL do 050
HOUSESEWER 050 "j
MISCELLANEOUS
rc
O
APPROVALS
DATE INSPECTOR 8 NAME
TR PLUMBING
PING
NT
CESSPOOL 100OL
SEPTIC TANK TANK
DRAIN ( ) PIT ( ) 100
PERMIT 1ST
UTILITY CO NOTIFIED
TOTAL FEE : '� �'V
FINAL �/'
WBAS67 17 a as® APPLICATION FOR PERMIT
DEPAR774F1vT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT O GROUP fERMITNO
PLUMBER t W d r i e k S i M l 6 I� REC612Z 7
Y READY ROR DATEISSUED
Mq f FIRST INSPECTION _3 J
ADDRESS V `V /�
BING /L
CITY M TEL NO 13 ADUDILDRESS e�/b
COUNTY .�O LOCALITY
LICENSE N D EXPIRES NEAREST
PERMIT FEES CROS 8 8T J
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNS Y
MAIL
WATER CLOSET TOILET 050 ADDRESS (� f�
BATH TUB 050 CITY TEL NO AW 4%rl a
ROWER 050 1 HEREBY fACKNOWLEAK THAT I, HAVE READ THIS
LAVATORY WASH BASIN O BO APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK a 050 STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a 050 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OR TH6 RESIDENT 1 PROPERTY DESjtFlDjZELV
GAS SYSTEM oUTLETB O SO 40
SIGNATURE OF
WATER HEATER O 80 PBRMITTE
SLOPSINK do coo INSPECTION RECORD
FLOOR SINK 050
FLOOR DRAIN 050
DISHWASHER ® 050
DRINKING FOUNTAIN Q 050
URINAL 050
HOUSESEWER @ 030 Z
MISCELLANEOUS
a
O
APPROVALS
DATE INSPECTOR B NAME
ROUGH PLUMBING
GAS PIPING lay
GAS VENT
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) 0 1 00 SEWER
PERMIT 100 GAS TEST lo/4rte'
UTILITY CO NOTIFIED 7 v
TOTAL FEE ffi �p
FINAL2 /ry
01 Cl-/,/