HomeMy Public PortalAbout9712 VAL ST_Plumbing__ DRB IT ll- APPLICATION FOR PERMIT
DEPARTMENT OFid AND SAFETY
COW"COW" LOS ANGELES
WILLIAM J. FF LOS FDX, DNlcr ENGINEER PLUMBING 2
FOR APPLICANT TO FILL IN .3
PWM [R fC7V IA
Rt6[IVW BY rIRST INSPECTION ��BBUW
DRE•e 3 S
I-! Iviontel wad. BUILDING
CITY TEL No ADDRee
COUNTY LOCALITY
—LICENSEEXPIRES
p�
� NEAREST
PEBb F`�`"re S CROBB ST.
NUMB" TYR DI FII(iIIQ OM R[Y r[[ OWNER
MAIL
WATER CLOBET(TOILET) @ 050 • ADDRESS
BATH TUB @ O 60 CITY [L No
SHOWER @ O EO I HEREBY XCKNOWAEDG T I HAVE READ THIS
LAVATORY (WASH BASIN) @ 050 APPLICATION AND UT [ THAT [ ABOVE IB CORRECT
AND ACR[[ TO COM Y WITH COUNTY ORDINANOMB
KITCHEN BINK @ ago AND STAT[ LAWS ULATIN PLUMBING
1 O[RTIrY THAT PCMB TN A VALID LOS
LAUNDRY TUB OR TRAY @ 050 ANGELES COUNTY LIC SE, R I LEGAL OWNER
Or THE R[BIG[NT1AL IB[D ABDVL
GAB RYSTEM OUTLETS @ O 60
SIGNATURE OF
WATER HEATER@ 63C P[IIMIn
SLOP BINK @ O SO INS ON RD
ROOK BINK @ 680
FLOOR DRAIN @ 660
DISHWASHER @ O w
DRINKING FOUNTAIN @ 080
URINAL @ COO
HDUBE SEWER @ 050 U_
MISCELLANEOUS J
G
0
APPROVALS
DAT[ INwmiDR•[ HAM[
ROUGH PLUMBING
DAH PIPING
BAS VENT
CESSPOOL @ loci CESSPOOL
SEPTIC TANKI I SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 DD I SEWER
PERMIT 1.00 GAS TEST
orlon CO.NOTIFIED
TOTAL FEE •
rI NAL