HomeMy Public PortalAbout4918 RYLAND AVE_Plumbing__ �176A667 17 11-49 APPLICATION FOR PERMIT
DEPARTMERMF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �' 1
WILLIAM J. FOX, CHIEF ENGINEER
IS RIC GROUP ZONE .
FOR APPLICANT TO FILL IN
PLUMBER _j /�/�J"`�,y,f / ����/ RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION q ^ S
ADDRESS j/ BUILD
w1 ADDREIN sC y .,a i
CITY TEL No / D ti
COUNTY LOCALITY
LICENSE NO. II EXPIRES D e
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE CF FIXTURE OR ITEM FEE OWNER
MAIL / a�"
WATER CLOSET(TOILET) � 0.50 $ ADDRESS /JJ
® BATH TUB @ 0.50 `
CI „ TEL. N0.
SHOWER @ 0.50 1HEREBY IACKNOWLED E THAT I 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.
1' CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
e LAUNDRY TUB OR TRAY @ 0.50 ANGELES"COUNTY.LICENSE, OR I AM THE LEGAL OWNER
BOF THE RESIDENTIAL PROP DESCRIBED ABOVE.
GAS SYSTEM-,0L--OUTLETS @ 0.50
SIGNATURE OFIt�!/��
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.50I INSPECTION RECORD
FLOOR BINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0:50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS
o
I
I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING I l /'
GAS PIPING
GAS VENT
CESSPOOL @ 1.130 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00I SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE $ v
FINAL `74-^� ���