HomeMy Public PortalAbout5928 1/2 CLOVERLY AVE_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUPI ZONE PE171411 NO.
PLUMBER !� �' RE I 'ED BY, READY FOR DATE ISSUED
FIRST INSPECTION / (/
ADDRESS (.3
BUILDING 1•
CITY TEL Na l c ADDRESS
COUNTY .y LOCALITY
LICENSE NO EXPIRES J
NEAREST
PERMIT FEES CROSS ST
r TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) a O 50 ADDRESS
BATH TUB a O 50 CITY TEL NO
SHOWER @ 050 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 050 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK ((� 050 AND STATE LAWS REGULATING PLUMBING
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
s LAUNDRY TUB OR TRAY Q 050 ANGELEB COUNTY LICENSE OR 1 AM THE LEGAL OWNER
/ GAS SYSTEM - OUTLETS @ 050 OF THE RESIDENTIA RPPERTY DESCRIBED ABOVE.
SIGNATURE OF
WATER HEATER @ O 50 PERMITTE
GLOP SINK @ 050 INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN 050
DISHWASHER 050
DRINKING FOUNTAIN @ O 50 7-
URINAL O 50
Q
HOUSE SEWER O SO 771 C _Z
MISCELLANEOUS 2
NI9-LTi C
M�tc�LL,
APPROVALS
:s DATE INSPECTOR'S NAMC
ROUGH PLUMBING
\ GAS PIPING
GAS VENT
CESSPOOL 100 CESSPOOL
SEPTIC TANK* SEPTIC TANK
DRAIN ( ) PIT ( ) 100 SEWER
PERMIT1 Do GAS TEST
• UTILITY CO NOTIFIED-
TOTAL
OTIFIED
TOTAL FEE
�oFINAL
7GA667 DRS$ 17 10/52