HomeMy Public PortalAbout9418 WORKMAN AVE_Plumbing__ ft APPLICATION FOR PERMIT
-�ARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES OPPL• I N G
WILLIAM J. FOX, CHIEF ENGINEER
1 FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
S
FEDD
R .i 7., RECEIVED 8Y READY FOR BATE ISSUED
-- lf.• ? ll FIRST INSPECTION / e
S ATlantic 2f}r 1 t, :r �, ;a .
BUILDING � e e
TEL. NO. ADDRESS f�LT
LOCALITY E NO. EXPIRES a'a/ NEAREST
PERMIT FEES CR096 ST. e
,NUMSER - TYPE OF FIXTURE OR ITEM FEE OWNER W o'��
MAIL
WATER CLOSET (TOILET) Q 0.50 S q ADDRESS
BATH TUB O.50 PITY TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE 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 ,AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 a ANGELES. COUNTY LICENS THE LEGAL OWNER
GAS SYSTEM-A—OUTLE`rSOF THE RESIDENTIAL PR TY D B• .ABOVE.
O.50 D
SIGNATURE OF
WATER HEATER ® 0.50 PERMITTE
SLOP SINK ® 0.50 INSPECTION RECORD
FLOOR SINK Q 0.50
FLOOR DRAIN @ O:SO
DISHWASHER @ 0.50
DRINKING FOUNTAIN ® 0.60 '
URINAL Q 0.501
J
HOUSE SEWER Q O.SO IQ
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MISCELLANEOUS U'
O
APPROVALS
DATE INSPECTOR'S�N� E `
ROUGH PLUMBING F,
N
GAS PIPING "
GAS VENT x.11,1
CESSPOOL 1..00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00 SEWER
PERMIT • 1.00 GAS TEST /. a `
Al-
TOTAL FEE 5"to UTILITY CO. NOTIFIED AIRA
`7 Q�
�
FINAL r