HomeMy Public PortalAbout10028 LIVE OAK AVE_Plumbing__ 76AS67 17 5-80 .APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY L
COUNTY OF LOS ANGELES
* WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL. IN DISTRICT NO. GROUP ZONE PERMIT NO.
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VALLEY BOULEVARD PLUMBING CO. ECEIVED BY READY FOR DATE ISSUED
PLUMBER �+ FIRST INSPECTION 3
ADDRESS 8300 EAST VALLEY BLVD. BUILDING /O
CITY ROSEMEAD TEL. NO. AT. 2-2719 ADDRESS
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COUNTY 93M 6;30-, LOCALITY
LICENSE NO. EXPIRES ,
NEAREST
PERMIT FEES CROSS ST. ' if
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER •�' ---
MAIL �J
WATER CLOSET (TOILET) Q O 50 $ ADDRESS r //��•, /'
BATH TUB Q 0.50 I G CIT TEL. NO. VI/ SJ
SHOWER Q O 50I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) Q O SO Q AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q O 50 O STATE LAWS REGULATING PLUMBING.
LAUNDRY TUB OR TRAY Q O 50 1 p I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
1 GAS SYSTEM OUTLETS Q O 50 I U OF THE RESIDENTIA PROPERTY DESCRIBED ABOVE.
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WATER HEATER Q O SO
SLOP SINK Q o so INSPECTION RECORD
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FLOOR SINK Q O 50FLOOR DRAIN Q O 50
DISHWASHER Q O 50I
DRINKING FOUNTAIN Q 0.50
URINAL Q O 501 .1
HOUSESEWER Q O 501 z
MISCELLANEOUS I 0
It
1� O
1�
1
1 APPROVALS
DATE INSPECTOR'S NAME
1 ROUGH PLUMBING s•
p�P �I
GAS PIPING I' /iY I
1 GAS VENT
6
CESSPOOL Q 1 00 CESSPOOL
1 SEPTIC TANK- 1 SEPTIC TANK
I DRAIN ( ) PIT ( ) Q 1 00 SEWER
PERMIT 1 00 GAS TEST 7
UTILITY CO NOTIFIED
TOTAL FEE
$
FINAL CJ r