HomeMy Public PortalAbout5032, 5030 FARAGO AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING Y
t DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES ffUILOING
WILLIAM a FOX, COUNTY ENGINEER ADDRESS �`�/�c�^Y✓
FOR APDL CANT TO FILL IN LOCALITY U
BUILDING '/ NEAREST
ADDRESS Q� /{/ CROSS ST
DISTRICT NO GROUP ZONE PERMIT NO
LOCALITY���I� � � c� I 7U
NEAREST
CROSS ST RECEIVED BY Ready for Inspection c DATE ISSUED
OWNER ������� le4m CJ .Z� ,}—
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL NO r,7 INSP�ECTIIION /RECORD
PLUMBER
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ADDRESS 25264 N. San
Gabriel
CITY S. San Crabriel TEL N%-T 7_d$ l O-STATE 777— $ 4
I ICENSE NO 634 6-30-54 Cl COUNTY g a,4 r ,s. sem '
PERMIT FEES Q
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DUMBER TYPE OF FIXTURE OR ITEM FEE 0
WATER CLOSET(TOILET) @ 080 i ' ).'A e- 4e A-S � ��O
BATH TUB @ 080
SHOWER 0 080
LAVATORY (WASH BASIN) a 0 80 flev
KITCHEN SINK @ 080 o
LAUNDRY TUB OR TRAY @ 0 80 0
SLOP SINK @ 080
FLOORSINK @ 080
FLOOR DRAIN a 080
DISHWASHER @ 080
DRINKING FOUNTAIN 0 080 ��j� Ave-,
A� � /
URINAL 00 0 80 �Ski P� y�/° A1ZZZ-1I-/
GAS SYSTEM OUTLETS @ 1 00
WATER HEATER @ 100
MISCELLANEOUS
APPROVALS
DATE INSPECTOR 8 SIGNATURE
UNDER SLAB WORK Y „�..���'�
PERMIT $ 1 00 ROUGH PLUMBING /r/d
TOTAL FEE GAS PIPING ii O'f>/ ✓�
I_HEREBY_ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI GASVENT -Ar
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CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER lVE't7t�P4n
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING - - PLUMBING FIXTURES 4
"I—HEREBY CERTIFY THAT AM PROPERL RED
AND/OR LICENSED AS- R Y GELES C NTY GAS TEST
STATEAND
ER OFTHE ABO ES
ES NIA D T OWN
1 NT AL PE LE RT UTILITY CO NOTIFIED
SIG NATUR
OF PERMI
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