HomeMy Public PortalAbout9937 NADINE ST_Plumbing__ ssAee7 n s-aa® APPLICATION FOR PERM
DEPARTMENT OF BUILDING AND SAFE"PY PLUMBING
L LI��I I� � 7
r COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRI NO. GROUP ZONE PERMIT NO.
r `r y� T G 0
[TADDRES_
ER Y LE' f "r tSil,u 'vv RECEIVED BY READY FOR DATE ISSUED'
rn FIRST INSPECTION
CITY R� -E�i i.:: TEL. No. i 1. 2-271 BAUDRESS'LDN .PS
DDR688
COUNTY ;-3j-
LICENSE
. J- LOCALITY
LI E 8 N EXPIRES
NEAREST
PET. FEES CROSS ST.
NUMBER TYPB OF FIXTURE OR ITEM FEE OWNER
MAIL ?
WATER CLOSET TOILET 0.50 ADDRESS /J
BATH TUB 0.50 C TEL NOlY '- tl
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY WASH BASIN) O.SO d APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT t POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.30 ANGELES COUNTY LI _ENSE. OR t AM THE LEGAL OWNER
OF THE REBIDfiNTi PERTY DESCRIBED ABOVE
GAS SYST M OUTLETS O.SO SIGNATURE OR
WATER HEATER ® O.SO PERMITTE
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.80
DISHWASHER @ 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50 ;J
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS G
a
O
APPROVALS
DATE INSPECTOR'S 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
r UTILITY CO. NOTIFIED i
TOTAL FEE $ 7.7
t% i
FINAL