HomeMy Public PortalAbout9569BISBY ST_Plumbing (2) COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
,- N=arbrn W of Counly Fmgbiaer
DIVISION OF BUILDING & SAFETY V B ' N
WILLIAM J. FOX, Demsh' EmlImmm
G 1
DISTRICT NO. OR-OUP I ZONE PERMIT NO
FOR APPLICANT TO FILL INy.
PL-ummER Belvedere Plumbing R>cp[IViD QY READY FDR DATi IMISUm /
FIRST INeP[OTION
ADDRE!'� d d
AD
aTY El mEL.
e T . No. FO 8983 AUDR[G!!1LDINO 9569 Bisb
DOUNTY _ LOCALITY Rosemead
' IR KA
N[A R[BT
PERMIT FEES CRORW ST.
MUNmQ TYrc❑F FIXTURE ON M04 DWHER Nick Husak
MAIL
2
WATER OLDBET(TOILET) @ 0.60 1 AD DREMB ('
BATH TUB ! 0.60 DITY TEL. No. l
SHOWER 0.60 I HEREBY AOKNCWL[DOE THAT I HAVE READ THIB
LAVATORY (WASH BASIN) O 0.60 APPLIOATION AND STAT[ THAT THE ABOVE IN CORR[OT
AND AOR[[ TO OOMPLY WITH ALL COUNTY ORVINAN00
KIT13HEN BINK CL5O AHDSTATIC LAWN REOULATINO PLUMBING.
1 CERTIFY THAT I PORNEW THE "CIVIC VALID LO■
LAUNDRY TUC OR TRAY Q 0.50 ANOEL[M DOUNTY LIO[N!IlFH OR I AM THE L[DAL OWNER
OF THE R[11D[ PROPERTY- CRIM[D AROVG
GAm wyE rE uTL 7-m op 0-50
■IONATURE O
WATER HEATER Q O.MO P[RMITTE
BLOP BINK 13.50 INSPECTION RECORD
FLOOR MINK Q O.MO
FLOOR DRAIN O 0-513
DIMHWASHER @ 0.50
DRINKING FOUNTAIN Q CL50rL
URINAL @ CLOD dp T 7,-- ,.kv
t
HOUSE NEWER @ CLOD Z
MIBCELLANEOUO IT
O
APPROVAJZ
DA/E lKWM lt'0 MANX
ROUGH PLUMMING
OAS PIPING
OAJ9 VENT
0E111111T130L @ x,013 OELBPOOL
REP110 TANKI ■EPTIO TANK
DRAIN ( PIT ( ) Q 1.130 MEW[R
PERMIT t.DD MAB TENT
UTILITY 00.NOTIFIED
TOTAL FEE ># $ Ln
W FINAL �'
T8AS67 DBS#17 E-52
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