HomeMy Public PortalAbout6437 GOLDEN WEST AVE_Plumbing__ 7GA667 17 25M SETS 7-48 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY U M I N G
' COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NO. GROUP ZONE PERMIT .
FOR APPLICANT TO FILL IN
PLUMBER M. C. NOTTINGHAM CO.
D
EAY FOR
RECEIVED BY RDATE ISSUED
(.
ADDRESS 123 leo. Cloverly Ave. FIRST INSPECTION
CITY TEMPLE-PLE CjITY,-\RALIR ADDRESS ��
COUNTY
LICENSE NO. EXPIRES LOCALITY
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NEAREST /�
ANGELES COUNTY wLICENSE. CROSS ST. V
OWNER
MAIL
PLUMBE ADDRESS
flelo'
PERMIT FEE IS $1.00 FOR THE FIRST FIXTURE OR CITY TEL. No.
EM LISTED BELOW, PLUS 50C FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP-
ITEM. FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE.
$1.00. MINIMUM FEE FOR ANY PERMIT $1.00. EACH
GAS SYSTEM IS A SEPARATE ITEM.
OWNER
NUMBER TYPE OF FIXTURE OR ITEM
WATER CLOSET (TOILET) CORRECTIONS
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
LAUNDRY TUB OR TRAY
GAS SYSTEM OUTLETS
f WATER HEATER
I �
SLOP SINK J
Q
FLOOR SINK - Z
FLOOR DRAIN E7
DISHWASHER
DRINKING FOUNTAIN
URINAL
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING I Iii
GAS VENT
CESSPOOL - � ��• .� � `�
SEPTIC TANK - DRAIN ( ) PIT ( ) $ SEPTIC TANK O
CESSPOOL $ SEWER
HOUSE SEWER $ GAS TEST '
UTILITY CO.NOTIFIED _ y+
TOTAL FEE $ ✓ ~7
FINAL I