HomeMy Public PortalAbout5010 FARAGO AVE_Plumbing__ DEPARTMET OF COUNTY ENGINEER
jh PLUMBING ` - 1
N
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
BUILDING <
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS) /O
FOR APPLICANT TO FILL IN LOCALITY _
BUILDING ,� / � NEAREST
ADDRESS �J / �r/ CROSS ST L3' CI
DISTRICT NO GROUP I ZON� E� ONO�
LOCALITYNEAREST
CROSS ST // , ¢ RECEI ED BY Ready for Inspect '}}DATE ISSU�E^D
OWNE /L'.27-7
MAILINDU
TRIAL
ADDRESS WASTE APPROVAL
CITY rr, / ay i No J p INSPECTION RECORD
PLUM
ADDRESS •
TEL NO.+y.'6B`S7'-
TATE
LICENSE 0 w [1 COUNTY J
ERMIT FEES Q
z_
DUMBER TYPE OF FIXTURE OR ITEM FEE u,
WATER CLOSET(TOILET) @ 080 s-
0
BATH TUB @ 080
SHOWER @ 080
LAVATORY (WASH BASIN) @ 0 80
KITCHEN SINK @ 0 80
LAUNDRY TUB OR TRAY @ 0 80
SLOP SINK @ 0 80
FLOORSINK @ 080
FLOOR DRAIN @ 080
DISHWASHER @ 080
DRINKING FOUNTAIN @ 080
URINAL @ 080
GAS SYSTEM OUTLETS @ 1 00
_L WATER HEATER @ 1 00
MISCELLANEOUS
' — APPROVALS
414 DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING f
TOTAL FEE 3 ( O GAS PIPING
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ot
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIORNI R THAT I AM THE LEGAL OWN-
ER OF THE ABOVE ES BED R ESIDENTIAL PROP RTY UTILITY CO NOTIFIED
SIGNATURE /,fjj�— t
OF PERM ITTE �'� �4' _ _ _
FINAL
76AG67 DDS 17 Cdb )2_53