HomeMy Public PortalAbout10625 LOWER AZUSA RD_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT,,
Department of County Engineer "
�-DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
ISTRIOT NO. GROUP ZONE PE IT NO.
FOR .APPLICANT TO FILL IN. .
PLUMBER. pVAI_ 1EV ,R 'P IMA REP EIVE BY FIRREADYPE_CTIY FOR ON' DATE ISSUUEDDj
ADDRESS 0300 EAqT VAI.I -
n ry BUILDiNG
CITY ROSEIVIE!'lD -:•TEL No. _ AT ��ADDRES z .
COUNTY .. LOCALITY
,LI CENSE N13. ` 1 EXPIRES NEAREST
PERMIT FEES- CROSS ST. �J
NUMBER TYPE OF FIXTURE OR.ITEM FEE OWNEL/�
`MAfLff—^T— -----WATER CLOSET(TOILET)' 0.50 ADDRESS
BATH TUB' - 0.50 `"CITY TEL. Na. ..
SHOWER - /@ D•5D I HEREBY ACKNOWLEDGE THAT I HAVE READ. THIS
LAVATORY' (WASHBASIN) (@O.SO APPLICATION AND STATE THAT THE ABOVE IS'CORRECT-
_ AND AGREE TO COMPLY WITH ALL-COUNTY ORDINANCES
KITCHEN SINK. @ 0.50 AND STATE LAWS. REGULATING PLUMBING. ,
I CERTIFY THAT I POSSESS THE ABOVE VALID LDS
LAUNDRY TUB OR TRAY !@ C.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
--
OF,THE RESID_ENTIA PROPERTY DESCRISED. BOVE.
GAS SYSTEM _OUTLETS 0 0.50 - -
- SIGNATURE- OF
WATER HEATER @ 0.50 PERMITTE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK 0.50 - - -
FLOOR DRAIN - ::(@--0.50 - -
DISHWASHER - ® 0.513DRINKING FOUNTAIN - -'@ O.SO -
URINAL ® 0.50 - - J -
Q
HOUSE SEWER - @ 0.5D - - - Z
MISCELLANEOUS - -
O
APPROVALS
' DATEE INSPECCTOR'a' -NAME
ROUGH PLUMBING
GAS PIPING _ -
- 7
GAS VENT
x7RL. i` A7�F
CESSPOOL Q 1:.00 CESSPOOL r
SEPTIC TANK: SEPTIC TANKL
DRAIN ( ) PIT ( )_ @ 1.00 SEWER
PERMIT1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE' • �+
FINAL -
76A667 DBS#17 6-52