HomeMy Public PortalAbout5708 CLOVERLY AVE_Plumbing__ 76AS67 DBS 17 11-SO �. APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER to L U M I N G
DISTRICTGROUP Z PERMIT NO.
❑ APPLICANT I L IN
PLUMBER RECEI D BY READY FOR pAT �881ED�
FIRST INSPECTION
ADDRESS
BUILDING
CITY TEL NO ADDRESS P7 08211
COUNTYq`
LICENSE NO tD EXPIRES&136 6r CRE TY
NEAREST
PERMIT FEES CR069 ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0513 19 ADDRESS
P BATH TUB @ O 50 CITY TEL. NO
SHOWER @ 13 SOI
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0513 D APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ O 50 AND STATE LAWS REGULATING PLUMB G
I
CERTIFY THAT 1 OH9ES9 TH AB E VALID LOS
LAUNDRY TUB OR TRAY @ O 5O ANGELES COUNTY L 9E, OR I A T LEGAL OWNER
OF THE RESIDENT O '.-Y IBED MOVE.
GAS SYSTEM OUTLETS @ O 50
SIGNATURE OF �
WATER HEATER @ O SO PERMITTE
SLOP SINK @ 050 INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN @ O 50
DISHWASHER @ O SO
DRINKING FOUNTAIN @ 050
URINAL @ DSD
Q
HOUSE HEWER @ O SO Z
MISCELLANEOUS 15
0
APPROVALS
DATE INSPECTOR'S HAMM
ROUGH PLUMBING
GAS PIPING
GAS VENT 3
CESSPOOL @ 1 OO CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMIT I 1 O GAS TEST _.? t Y,
v- G
UTILITY CO NOTIFIED � �/ Q/..�'��.• �!,
TOTAL FEE
FINAL