HomeMy Public PortalAbout4808 RYLAND AVE_Plumbing__ 76467 17 77 11-49 r APPLICATION FOR PERMIT
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DEP1iRTMENT OF BUILDING AND SAFETY PLUMBING
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COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
D R GR P •O Er FOR APPLICANT TO FILL IN 17.
UED
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v'J� i1A u« c /� CL RECEIVE BY READY FOR FIRST IINNS-PECTION q188
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' .�t BUILDING
CITY /f �J TEL.Nd;10 ADDRESS
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LICENSE NO. �� EXPIRES LOCALITY • e
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER AA '�S�—vat
MAIL l
WATER CLOSET(TOILET) @ 0.50 S ADDRESS �1
BATH TUB @ 0.50 CITY y *,jrt� TEL. No.
SHOWER @ 0.50 I HEREBY ACKNOWLE GE 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 BINK @ 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 I AM THE LEGAL OWNER
OF THE RESIDENTIAL VZ
ESYCRI�BEp ABOV,E.
GAS SYSTEM_A_- OUTLETS @ 0.50 _
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.50I INSPECTION RECORD
FLOOR SINK I @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 00.5 J
Q
HOUSE SEWER @ 0.50 _Z
MISCELLANEOUS 0
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1
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APPROVALS
DATE JVSPECTOR'S NAME
ROUGH PLUMBING I /' .✓�/
GAB PIPING
GAS VENT I r�' •9
CESSPOOL @ 1.00. CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ) @ 1.00 SEWER
PERMIT I 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE S FINAL f
v 7 `V