HomeMy Public PortalAbout5130 BALDWIN AVE_Plumbing__ (2) COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer �'
DIVISION OF BUILDING & SAFETY
WILLIAM J FOX County Engineer
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DISTRICTGROUP I ZONE
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PLUMBER 901 SOUTH PRIMROSE AVE. RECE_VED BY READY FOR DATE ISSUED
MUNROVIA l RI IA V FIRST INSPECTION �'
ADDRESS TelephoneELUott85126
TEL. No
_�" ✓ �S / RS 13( 'OITY ADORE
COUNTY LOCALITY
LICENSE NO (Q O EXPIRES
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM Fi9o-
OWNER
MAIL
WATER CLOSET(TOILET) O 50 $ ADDRESS
BATH TUB @ O50 CITY TEL NO
SHOWER @ 050 D 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 050 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK @ 050 AND STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a O 50 l) ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
/
GAS SYSTEM OF THE RESIDENTIAL PROPERTY SCRIBED ABOVE
OUTLETS Q O 50 SIGNATURE OF
WATER HEATER @ O 50 QQ
PERMITTE (((••��N// I
SLOP SINK @ 0 SO INSPECTION RECORD
FLOOR SINK 0 1350 3-3'- �// �� �-rV � r�
FLOOR DRAIN @ O 50 _ p�
DISHWASHER @ O 50 �n/S
DRINKING FOUNTAIN @ O SO
URINAL 0 050 'l
Q
HOUSE SEWER @ O 50 Z
MISCELLANEOUS
t7
-�t-.roc-lam l 0 0
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APPROVALS
DA, _T//�
EINSPECTOR S jNAME
ROUGH PLUMBING �r -dJ �
GAS PIPING
GAS VENT
CESSPOOL @ 100 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMIT 1 03 GAS TEST 'L�'L� " ell 3
UTILITY CO NOTIFIED
TOTAL FEE 7s// 110101 FINAL
76AGG DBS#17 6 52 ��