HomeMy Public PortalAbout9250 PENTLAND ST_Plumbing__ ;5065') D081 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHI[F QNOIN[[R i
FOR APPLICANT To FILL IN3 3 Z-77 PLUMBER eI- OF- IREADY FOR
CEIVED BY DATE ADDRESS I `( FIRST INSPECTION
CITY TEL.NdA 9 J Y l ADDRESS YBUILDING lfS6
COUNTY p
LI NB NO I / G E_XPI REB D LOCALITY
NEAREST
PERMIT FEES CROBBBT /��
NUMBER TYPE O►FIMURC OR 11£M IEE OWNERIy ��^�
MAIL
WATER CLOSET(TOILET) ® O SO B AO DRESS �� L
BATH TUB * 050
CITY TCL N / / • v
SHOWER a O SO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) ® 050 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK Q O SO AND STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY ® O s0 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL P OPE)T" DESCRIBED ABOVE.
OAS SYSTEM OUTLETS v O 50 ��
SIGNATURE OF 4 I
WATER HEATER @ O 50 PERMITTEE
GLOP BINK ® 0 so INSPECTION RECORD
FLOOR SINK 050
FLOOR DRAIN 050
DISHWASHER 40 O SO
DRINKING FOUNTAIN 050
URINAL ® 1350
a
HOUSE SEWER O 5O Z
MIB LLA OUS 0
0
APPROVALS
DATE INEPCQTOR'B NAME
ROUGH PLUMBING �J ✓
GAB PIPING
v
GAB VENT 1'
CESSPOOL 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) 1 00 SEWER
PERMIT i Do GAB TEST
UTILITY CO NOTIFIED YY J
TOTAL FEE B . 0 4
FINAL
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