HomeMy Public PortalAbout9512 LA ROSA DR_Plumbing__ .r`F DEPARTMENT OF COUNTY ENGINEER PLl1MBING 1
' DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
` COUNTY OF LOS ANGELES BUILDING
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WILLIAM J:, FOX, COUNTY EN13INEER ADDRESS
FOR APPLICANT TO FILL IN LOCALITY L �a
BUILDING r f)i ONEARESROSS ST.
ADDRESS aG 7f
DISTRICT NO. GROUP e ZONE PERMIT NO.
LOCALITY t1 n t�A A— y�
NEAREST
ceoss sr. Y� Ready for Inspection DAYE ISSUED
� ,y I RECE d.
OWNER
MAIL NDUSTRIAL
ADDRESS 7 /r WASTE APPROVAL
CITY 6.&OLl11lst,X3'L� TEL.NO. )3 '�e1 INSPECTION RECORD
N
PLUMBER 2
I � �
ADDRESS
CITY TEL.NO.
[]STATE
'T� T� c�LR l —•
LICENSE NO. n COUNTY �'- J
PERMIT FEES
Q
4UM9ER TYPE OF FIXTURE OR ITEM FEE
z15�- ttcc P_pesnt� 1 !_" Z
WATER CLOSET(TOILET) @ 0.80
BATH TUB @ 0.80 O
SHOWER @ 0.80
�- LAVATORY (WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80 (/
LAUNDRY TUB OR TRAY @ 0.80
SLOP SI NK' @ 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 INSP CTOR'S SIGNATURE
UNDER SLAB WORK `t! ('l.,
PERMIT $ 1 00 ROUGH PLUMBING 1 11 5`5QJ ell—
TOTAL
GAS PIPING
FEE GAS VENT'
I HEREBY ACKNOWLEDGE THAT I HAVE READ HIS APPLI• rr
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER �. \p
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURESIHEREBY CERT
AND/OR LICENSEDIAS EQUIREDTHAT IABYPROPERLY LOS AN ELES(STERED COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- �+
ER OF THE ABOVE DESCRWED RESIDENTIAL PROPERTY.�f UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE-"._.. .. - �fL P
FINAL p
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