HomeMy Public PortalAbout4823 HELEO AVE_Plumbing__ PLUMBING DEPARTMET OF COUNTY ENGINEER
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DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
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COUNTY OF LOS ANGELES
BUILDING
WILLIAM J. FOX, COUNTY ENGINEER .ADDRESS Gam+
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FOR APPLICANT TO FILL IN LocauTYNEAREST
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BUILDING � CROSS ST,
ADDRESS '`
DISTRICT NNO. GROUP ZONE PERMIT NO.
LOCALITY !.' t 6 r� -J? 3;7®
NEAREST g., �•a� ! o !!
CROSS ST. RECEIVEDBY Ready for Inspection DATS ISSU@D
OWNER
MAIL INDUSTRIAL'
ADDRESS t '" iA,j WASTE APPROVAL
CITY ; / TEL.N0. � � . INrS�PECTION RECORDr�
PLUMBER C J /r` I/ i !. I 4 SSS s fit."t�`t 41v4w
ADDRESS
CITY TEL.N0.
El STATE
LICENSE NO. Q COUNTY
PERMIT FEES *a- J
` Q
NUMBER TYPE OF FIXTURE OR ITEM FEEVr
WATER CLOSET(TOILET) @ 0.80 $ Ityg�
I BATH TUB @ 0.80 �® O
SHOWER @ 0.80 d
LAVATORY (WASH BASIN) @ 0.80 6pO
KITCHEN SINK @ 0.80 era '
LAUNDRY TUB OR TRAY @ 0.80 q U
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 yI/
® WATER HEATER @ 1.00 (/[/
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
ROUGH PLUMBING
PERMIT $ I 00 _
TOTAL FEE �I6 GAS PIPING 4' o'er �17 1111 t,/
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APLI. GAS VENT
P
CAT ION STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS A
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT IAM PROPERLY REGISTERED ;jamV
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST PW
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE ��
OF PERMITTEE_L .............. .............9� _ _ ..... .....
FINAL
76A667 DBS 17 1/53^