HomeMy Public PortalAbout4919 RYLAND AVE_Plumbing__ 4,
76A667 17 11-49 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
111TRT NO. GRI ZONE PERMIT .
FOR APPLICHANT TO �FlILL IN
PLUMBER ! y /'Fir Q ,� RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
3
�� BUILDING .
CITY L No. ADDRESS Al I
COUNTY LOCALITY
LICENSE NO. I1 EXPIRES d
NEAREST
PERMIT FEES CROS8 ST.
NUMBER -TYPE OF FIXTURE OR ITEM FEE OWNER 11 r
MAIL /rf
WATER CLOSET(TOILET) @ 0.50 $i ADDRESS
BATH TUB @ 0.50 CITY 7 �� TEL. No.
SHOWER @ 0.50 I HEREBY ACKNOWLED` THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE HAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POBSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES•COUNTY LICENSE. OR I AM THE LEGAL OWNER
PFJ ryY D 9_ CI�BED A=:. •
GAS SYSTEM OF THE RESIDE IAL P OUTLETS @ 0.50 "�"7"
SIGNATURE O
WATER HEATER @ 0.50 PERMITTE
SLOP SINK @ D.So INSPECTION RECORD
FLOOR SINK @0.50
FLOOR DRAIN @ 0.513
DISHWASHER @ 0.50I
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS I9
O
APPROVALS
DATE INSPECTOW9 NAME
ROUGH PLUMBING
GAB PIPING !
AS VENT
CESSPOOL @ 1,130 CESSPOOL i
SEPTIC TANK, SEPTIC TANK.
DRAIN ( ) PIT ( ) @ 1.00 SEWER /
PERMIT I 1.00A GAS TEST
UTILITY CO.NOTIFIEI�--
TOTAL FEE �! r
(J FINAL /
V