HomeMy Public PortalAbout5620 NOEL DR_Plumbing__ >OWas 17 j'EO 0 v APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
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COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT O GROUP I ZONE �ERMITNO
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS �•
' O '
BUILDING
CITY TEL NO ADDRESS j� •
COUNTY _ LOCALITYLEAd
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LICENSE NO EXPIRES C U�3
NEAREST
PERMIT FEES CROSS ST G 6 //�� 1 1
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER eb l-4 rr �w ,ns rVCT,OfV
MAIL !f �A_ 49,11
WATER CLOSET (TOILET) O BO S ADDRESS V V ��pp���� OSA
BATHTUB O SO CITY AeC'OL 'Al TEL NO
SHOWER O SO i HEREBY ACKNOWLEDGE THAT i HAVE READ THIS
LAVATORY WASH BASIN) ® O SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGRE��O COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK C91 O BO STAT LAWS REGULATING PLUM 6
1 CERTI�C. THAT 1 PO THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 000 �O ANGELES COUNTY LICE AM THE LEGAL OWNER
OF THE RESIDENTIAL P SCRIBED ABOVE
GAS 8YBTEM-3--OUTLETB ® O SO SIGNATURE OF
WATER HEATER @ O SO PERMITTE
SLOP SINK O SO INSPECTION RECORD
FLOOR SINK ® O SO
FLOOR DRAIN (� O 50
DISHWASHER O SO
DRINKING FOUNTAIN ® O SO
URINAL 0 O BO J
HOUSESEWER 050
_Z
MISCELLANEOUS 19
lz
O
APPROVALS
DATE 114SPECTOR 8 NAME
ROUGH PLUMBING Z
GAS PIPING I�
GAS V ENT
CESSPOOL (d 100 CESSPOOL
r
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) ® 100 SEWER
P RMIT 1 00 GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE
FINAL