HomeMy Public PortalAbout5818- 5818 1/2 CLOVERLY AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER � �-;el ,
I)IVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
BUILDING /
WILLIAM J. FOX. COUNTY ENGINEER ADDRESS
FOR APPLICANT TO FILL IN LOCALITY
BUILDING NEAREST
ADDRESS CROSS ST
DISTRT.NQ GROJJP I 7Q pEjiMIT�10
LOCALITY
/(•�(J
NEAREST
CROSS ST LA)'n RECEIVED BY Ready for Inspection DATE ISSUED
OWNER r
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
J CITY TEL 11609k,
- 7 INSPECTION RECORD
PLUMBERE—jlloc�
ADDRESS 9�3� .� iCeg S=o./E
J CITY TEL NO /O
ATE
LICENSE NO / /57129,S 12US �OUNTY
PERMIT FEES
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4UM13ER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) Q 080 $;L
BATH TUB @ 080 '>�I t4'�'SS 't7�PEia�4�R4 S O•L t�D[g O
SHOWER 0 080 Q
LAVATORY (WASH BASIN) @ 0 80 p
KITCHEN SINK @ 0 80
LAUNDRY TUB OR TRAY Q 080
SLOP SINK Q 080
FLOOR SINK @ 080
FLOOR DRAIN @ 080
DISHWASHER C81 080
DRINKING FOUNTAIN Q 080
URINAL (� 080
GAS SYSTEM OUTLETS @ 100 _ -
WATER HEATER @ 1 00 ®.�
MISCELLANEOUS
a APPROVALS
DATE INSP CTOR'SSIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING u BnGr .YOJL► �+
AS PIPING k
TOTAL FEE i
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AG HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND T E L
REGULATING PLUMBING PLUMBING FIXTURES r
I HEREBY CERTIFY THAT I AM PROPE LY R 18 R
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST ig g L.A...._
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE DE RIBED RESIDENTI PROPERTY UTILITY CO NOTIFIED u
SIGNATURE , f
OF PERMITTEE _
FINAL u
76A667 DSS 17 Ob 12-53