HomeMy Public PortalAbout5942 CLOVERLY AVE_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY L � '
WILLIAM J FOX, County Engineer
NO.
ZONE PERMIT NU.
GRO
TFOR APPLICANT
�T/lO /FILL IN DISTRICT�� UPI IL '
PLUMBER �/ I YI/ `pL}' -RECEIVED BY READY FOR DATE ISSUED
ADDRES9 41 o �01 � '�1► �s� FIRST INSPECTION
BUILDING
CITYT-wR E / IAk/\,TEL NO a/��I/j/rpQ 1�'' ADDRESS
COUNTY / Tom"` EXPIRES LOCALITY .�
LICENSE NO
NEAREST / Y1�.
PERMIT FEES CROSS ST (� fry
NUMBER TYPE OF FIXTURE OR ITEM FEE MAIL_
MAIL
WATER CLOSET(TOILET) O 5O O/ ADDRESS/
BATH TUB ® 1350 p y CITY TEL. NO
SHOWER @ 050 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) O 50Q APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK Q O 50 (�o AND STATE LAWS REGULATING PLUMBING
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB PR TRAY O 513 ANGELES COUNTY LICENSE, OR I AM-THE LEGAL OWNER
GAS SYSTEM OUTLETS @ 050 OF THE RESIDEN L PROPERTY DEEICRIBED ABOVE
D SIGNATURE OF
WATER HEATER @ O 50 PERMITTEE
SLOP SINK @ 050 IN PkCTION REC611D
FLOOR BINK O 513
FLOOR DRAIN O 50
DISHWASHER O SO `
DRINKING FOUNTAIN Q 0 50 ✓ ,1 .,,/�,J
URINAL O 50
HOUSE SEWER O 50 Q
MISCELLANEOUS n P► 0 6 ,..MK
Q
O
APPROVALS
rDATE/ INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING 1®
GAS VENT L"Z3
CESSPOOL Q 1 00CESSPOOL
SEPTIC TANK, SEPTIC TANK
DRAIN ( ) PIT ( ) 0 1 DO SEWER
PERMIT 1 DD GAS TEST //✓AL 23
7 &0 UTILITY CO NOTIFIED 9 I �A
TOTAL FEE B
FINAL
76A667 DBS#$17 10/52