HomeMy Public PortalAbout5952 - 1/2 - 1/4 CLOVERLY AVE_Plumbing__ 76A667 Des 17 1i�sat; APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETYo�
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICTUP PERMIT NEI.
FOR WX&NL IN 1-4
I�'� S� C
PLUMB 0 N READY FOR a
PLUMBER RECEIVED BY DATE ISSUED
a ' / +�i FIRST INSPECTION J -q _
ADDRESS U ��A1L7W.�1OlY�r.226 1
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PX41 EMPEROR AVE. - SANaA��IEL - AT. 7-343 ADDRESSBUILDe-,7 J_ — G' _
w LICENSE NO EXPIRES _�CNTYLOCALITY � Px r T
NEAREST
PERMIT FEES CROSS ST /�Y?
NUMBER TYPE OF FIXTURE OR ITEM FEE N
OWNER ®/ 'L
MAIL
WATER CLOBET(TOILET) @ 6456 $ , /t46 ADDRESS
BATH TUB @ O O T D CITY TEL Na
SHOWER @ O 40 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 014' j_ 'YAG APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
` KITCHEN SINK @ O 913 tx AND STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 5 (� ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL OPERTY DE RI ABOVE.
GAS 9YSTEMtOUTLET6 @ O 5 "� Q b
SIGNATURE OF
WATER HEATER @ O 5 '� Q d PERMITTE
SLOP SINK @ Oso INSPECTION RECO
FLOOR SINK @ 10.5
FLOOR DRAIN @/to 5IA
DISHWASHER @r1 O 5
DRINKING FOUNTAIN @1 O50 '� �
URINAL @ O 50 I t C� V ]C ✓ �.�s/ J
/ a
HOUSE SEWER O 6O ^o C In WI LI Gd M F_ ?"D Z
MISCELLANEOUS �S Ff4-Gj5 tll�tr d
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R 64�v F rt i lzodwo Z �e�S trt: VEI✓TJ
fff Ra p APPROVALS Q1rtJL
DATE IN9PECTOW9 NAME
ROUGH PLUMBING
GAS PIPING )�
GAS VENT U / 144
i
CESSPOOL @ 1D0 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 OO SEWER
PERMIT I 1.00 GAS TEST
UTILITY CO NOTIFIED /
TOTAL FEE 1 Q
( FINAL