HomeMy Public PortalAbout5413 BALDWIN AVE_Plumbing__ (2) + COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J FOX County Engineer
RMIT NO
FOR APPLICANT TO FILL IN D TR T D GR_O�UP I
PLUMBER Q G� Glu( c� RE EIVEo BY READY FOR DATE 188 ED
y� - D FIRST INSPECTION
ADDRESS C413 J rw aG�f�Lk�
// BUILDIN t�
CITY t TEL. No 3Q p9 ADDRE99 •) �� jp ,,/,,.
COUNTY / LI v e,gC
LICENSE NO LOCALITY
(� "T EXPIRES
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER (/\ q.•N�•( �+ .IFw�(l
/ MAIL
WATER CLOSET(TOILET) a O 4D $ bQ� ADDRESS
BATH TUB Q O O p 0 CITYyl ,,``( �� ( TEL. No
O
SHOWER @ SO 1 HEREBY WCKNOWLEDGE/THAT I HAVE READ THIS
LAVATORY (WASH BASIN) (� O 50 �/` APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 4513 AND STATE LAWS REGULATING PLUMBING
1 Y CERTIFTHAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ s0 ANGELES COU TY LICENSE OR I AM THE LEGAL OWNER
GAS SYSTEM OUTLETS @ 50
OF THE REBID NTIAL PROPERTY DESCCRIIBBEEDD�ABOVE
G SIGNATURE DF ��
WATER HEATER @ 5O ,-OC) PERMITT
SLOP SINK @ s'o INSPECTION RECORD /f
FLOOR SINK @ SID
FLOOR DRAIN @ 95,0 r C.+ C7
DISHWASHER @ Fso g -eAP Aka V-0 Ag PP-As lZ439 G,=
DRINKING FOUNTAIN @ P
50 /)!/ Ae 70141
URINAL @ 50
Q
HOUSE SEWER @ 050 'VIA rj h le A"l,�.Gti/ I'lir
y Y
MISCELLANEOUS 41
APPROVALS
q DATE/(( INSPECTORS/9 NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1 OO CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 100 SEWER
PERMIT 1 DD GAS TEST
�Q UTILITY CO NOTIFIED "e6 �i1°
TOTAL FEE
FINAL
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