HomeMy Public PortalAbout5941 OAK AVE_Plumbing__ 76AG67 DBS 17 11 50 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY t
COUNTY OFF LOS LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
-ICT No BF!2�UP I ZONE PERMIT NO
FO,WAePLWJkNT TO FILL IN .I,— READY FOR /Di .4—a 3
PLUMBER y RCCD BY FIRST INSPECTION DATE ISSUED
ADDRESS •rer ® "-f!y
.e1 �"�y BUILDING
CITY /� TEL N ,4 Vci�sf� ADDRESS
C OENBE/NO !/ EXPI ES/m D - LOCALITY
NEAREST •
PERMIT FEES cRDBs BT
I
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER �yv
MAIL
WATER CLOSET(TOILET) O 50 8 ADDRESS
BATH TUB Is O 58 CITY /� TEL No
SHOWER ago I HEREBY ACKN EDGE THAT 1 HAVE READ THIS
LAV TORY (WASH BASIN) O 50 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
SINK 13513 ANDSTATE LAWS REGULATING PLUMBING
I CERTIFY THAT 1 P139BEB9 THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY 13513 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
GA6 BYSTEII OUTLBTS ago OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
SIGNATURE OF a [r��L / 9G I�
WATER E
NEATR � D 50 PERMITTEEz
SLOP SINK 050 INSPECTION RECORD
FLOOR BINK O SO
FLOOR DRAIN O 50 s � _
DISHWASHER O 5D " /1g®, 'S/ v /
DRINKING FOUNTAIN D 50
URINAL O 50 "Tr �!J /` e 'j
t
HOUSE SEWER O 50 4- o= 42r Z
MISCELLANEOUS n
t �
O
APPROVALS
DATE INSPECTOR B NAME
ROUGH PLUMBING
GAB PIPING
GAS VENT
CESSPOOL DO CESSPOOL
DEISTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) Ica SEWER
PERMIT DO GAB TEST
TOTAL FEE D
0 a UTILITY CO NOTIFIED I
FINAL