HomeMy Public PortalAbout10632 OLIVE ST_Plumbing_6/9/1952_35595 HOUSE SEWER 79ASS7 DBB 17 7-51 APPLICATION FOR PERIVBT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELESPLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER,
FOR APPLICANT TO FILL IN D R P
MMIT NU.
PLUMBER BUM--HOWARD RECEI ED BY READY FOR. DATE ISSUED
.�G f��,_ FIRST INSPECTION
ADORE99 36 No. Rosemead Blvd I (V
CITY : X012tse CEalife TEL.NO. ADDRESS 106 Olive Ste
COON 9 NO. 5 3042 A EXPIRES 731-52 LOCALITY Temple Gityp C
NEAREST
PEBIWIT FEES CROSS ST.
NUMBER TYPE DF FIXTURE OR ITEM FEE OWNER Za=oso & DeBenedie
MAIL
WATER CLOSET(TOILET) a 0.50 111 ADDRESS 2804 Lower Azusa Rd.
BATH TUB a 0.50 CITY El MQ$t® 9 Cali TEL NO.
SHOWER a 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) a 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK a 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.90 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL Wfo B V
- E.
GAS SYSTEMOUTLETS fro 0.80 SIGNATURE OF ��`JJ
WATER HEATER 0.50 PERMITTE
SLOP SINK 0.50 INS TION RE RD
FLOOR BINK 13.511
.....................
FLOOR DRAIN a 0.50
DISHWASHER a 0:50 Z
DRINKING FOUN!rAIN a 0.50 r
URINALQ 0,50 - / J
Q
1 HOUSE SEWER Q 0.50 50 Z
MISCELLANEOUS
O
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 1,00 CESSPOOL
SEPTIC TANK. SEPTIC TANK
DRAIN ( X) PIT ( ) 1.00 1 001 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIE /�
TOTAL FEE 111 2150'
FINAL rJ (2 -
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