HomeMy Public PortalAbout4916 RIO HONDO AVE_Plumbing__ 76A667 Deg 17 11-50 APPLICATION FOR PERMIT
r DEMTMENT OF BUILDING AND SAFETY PLUMBING
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COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF KNOI14ECR
1 RO P ZONE PERMIT NLJ.
FOR APPLICANT TO FILL IN
[PLUMBER READY FOR •7
RECEIVED BY FIRST INSPECTION D E 19UED/
ADDRESS p n��/
BUILDING �]
CITY �/C. TEL NO-4,4%��q ADDRESS tij�s(,r
COUNTY _LOCALITY 1
LICENBE NO. O EXPIRES 6 -30 %,j NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL o
WATER CLOSET(TOILET) 0.50 III ADDRESS 1
BATH TUB @ 0.50 CITY / TEL No Q e
SHOWER 0 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
GAS SYSTEM OUTLETS 0 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
oSIGNATURE OF A �
WATER HEATER @ 0.50 PERMITTEE
SLOP BINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50 J
Q
HOUSE SEWER 0.50 Z_
MISCELLANEOUS 0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING o4I
.v
OAS PIPING
r{v
GAS VENT ,� t
CESSPOOL 1;00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
1
PERMIT 1.00 BAS TEST
TOTAL FEE
_ UTILITY 00.NOTIFIED
-
0 FINAL I 1