HomeMy Public PortalAbout4932 RIO HONDO AVE_Plumbing__ D89 77
-- 67 ART 11-50 "PLICATION
OF BUILDING AND SAFETY APPLICATION FOR PERMIT
� - -COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
FOR APPLICANT TO FILL IN DISTRICT® D. 111111
i�
PLUMBE Q., J Q., RECEIVED BY READY FOR 41 / LJED
188uuED
J FIR5T INSPECTION
ADDRESS / , aoug /,V-/�
R
/
�/
BUILDING ,3 3. `
CITY TEL.No. � 6 a' 12 ADDRESS
COUNTY �Z LOCALITY
L10EHBE NO. CA EXPIRES EXPIRES
Y NEAREST
PERMIT FEES CROSS ST.
NUMBERTYPE OF FIXTURE OR ITEM FEE OWNER _/
MAIL
WATER CLOSET(TOILET) 0 0.50 $ ADORE/S�S 2-p
/ BATHTUB @ 0.50 CITY TEL N O
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AREE 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 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
GAS SYSTEM--;S-OUTLETS @ 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
SIGNATURE DF G
WATER HEATER 0.50 PERMITTEE
SLOP BINK @ 0.50 INSPECTION RECORD
FLOOR SINK a 0.50
FLOOR DRAIN @ 0.50
DISHWASHER Q 0.50
DRINKING FOUNTAIN 0.50
URINAL @ 0.50 Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS L7
IMw/4A alb IY
O
APPROVALS
DATE INBgPECTOR-8 NAME
ROUGH PLUMBING i
OAS PIPING
v
OAS VENT M'
CESSPOOL 1:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT .
I 1.00 GAS TEST
UTILITY CO.NOTIFIED n n.�
TOTAL FEE
.� �,{/� �+'^" fir,
FINAL i� r'� • +1S