HomeMy Public PortalAbout9921 NADINE ST_Plumbing__ 70AS67 17 8-40® APPLICATION FOR PEnGT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
L���� � � 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
t FOR APPLICANT TO FILL IN DISTRI5NO. GROUP I ZONE PERMIT NO.
o Z $'o
� �� ( ��U1 EVARD PUMBING CO. RECEIVED BY READY FOR DATE ISSUED
PLUMBER �'�
FIRST INSPECTION
ADDRESS EST VALLEY B!VD. �-"
CITY ROSEMG,4D TEL. NO. AT. 2 271✓ ADD DESS --;.5"/
COUNTY 93M G 3O-s/ LOCALITY
LICEN E O. EXPIRES
NEAREST
PERM FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER42
MAIL
WATER CLOSET TOILET 0.50 ila
ADD ESSBATHTUB O.30 C TY TEL NO
SHOWER 0.80 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS
LAVATORY WASH BASIN O.SO -'v APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK O.SO v I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 �Q ANGELES COUNTY LICEN E OR I AM THE LEGAL OWNER
_ OF THE RES ENT PERTY DESCRIBED ABOVIL
GAS SYSTEM�OUTLETS Q 0.50 f
SIGNATURE OF
WATER HEATER Q 0.80 PfiRMI
SLOP SINK 0.50 _- INSPECTION RECORD
FLOOR SINK 0.30
FLOOR DRAIN (Q] 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN A 0.30
URINAL 0.50 1
HOUSE SEWER 0.50 . Z
MISCELLANEOUS C9
Q'
O
APPROVALS
DATE INSPECTO •6 NAME
ROUGH PLUMBING
GAS PIPING 1
GAS VENT
CESSPOOL ® 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) 'PIT ( ) 1.00 1 SEWER
PERMIT . 1.00 GAS TEST
TOTAL FEE
UTILITY CO. NOTIFIED
� v
FINAL