HomeMy Public PortalAbout10147 GREEN ST_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FOR APPLICANT TO FILL IN LOCALITY
BUILDING _ - NEAREST
ADDRESS CROSS ST.
DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY ( '
NEAREST �
CROSS ST. ( > RECEIVED BY Ready for Inspection DATE ISSUED
OWNER
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL,NO. INSPECTION RECORD
PLUMBER VAL[EY WAL17VA D E1-t1MBING CO.
ADDRESS 8300 EAST VALLEY I3I VD-
CITY RO ;EMEAD TEL.NO. AT. 2-2719
❑STATE
LICENSE NO. 7 TY
J
PERMIT FEES a
z
7'::M ER TYPE OF FIXTURE OR ITEM FEE Vr
WATER CLOSET(TOILET) @ 0.80 $ O
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM..............OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
HEREBY 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED REQUIRED BY LOS ANGELES COUN Y GAS TEST
AND STATE OF CA RNIA ORT AT-_ M THE LEGAL 0
ER OF THE ABOV ESCRIBED SID I L P OPERTY. TILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE......-.... —-------------- --------- ........._......_.......•—•-
FINAL
76A667 DBS 17 1/53 ,
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