HomeMy Public PortalAbout10641 LOWER AZUSA RD_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT .
Department of. County Engineer
-DIVISION OF BUILDING &. SAFETY
WILLIAM J. FOX, County Engineer
DISTRICT NO. ROUP ZONE .
F❑R APPLICANT TO FILL:IN-
BOULEVARD
y�7H ��(1 CO. "� cL' —i .-%4S
PLUMBER LEY BOU E4'ARD PLUMBING CORECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 8300 EAST VALLEY BLVD.
BUILDING
CITY ROSEMEAD - TEL.No.. AT. 2-2719 'ADDRESS
.COUNTY... " �.
LICENSE NO. EXPIRES 6-300 O
.LCALITY
NEAREST
PERMIT FEES cRDss ST. _
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER . /�
MAIL -
WATER CLOSET.(TOILET) (11 0.50 S ADDRESS
BATH TUB @ 0.50 CITY _ .TEL. No.
SHOWER <@' D.SO �I HEREBY ACKNOWLEDGE THAT 1 HAVE-READ THIS
LAVATORY (WASH BASIN) - 0.50 APPLICATION .AND STATE THAT'THE ABOVE IS'-CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK - @ O.SO AND STATE LAWS REGULATING "PLUMBING.
- 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY .0 C.SO ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
-'Qi* THE RESIDENTIAL PROPERTY DESCRIBED ABOV
GAS SYSTEM-5—OUTLETS 0 O.SO
SIGNATURE OF
WATER HEATER 6 .0.50 PERMITTE
BLop SINK 0 0.50 INSPECTION RECORD
FLOOR SINK -
FLOOR DRAIN' ..C@ .0.50 -
DISHWASHER 0.50
DRINKING FOUNTAIN @ 0.50
URINAL - @ 0.50 - J.
HOUSE SEWER 0.50 - Z
- MISCELLANEOUS _ _ - E
APPROVALS
q�
.DATE INSPECTO,f�P;13 NAME
" - ROUGH PLUMBING i//�S� jl�('�A,,.;�.�.�...,
GAS PIPING r- y
GAS VENT
CESSPOOL Q. 1.00
SEPTIC. TANK:
' - SEPTIC TANK \� I 1l M.
�y
DRAIN ( ) PIT (' ) @. 1.00 ' SEWER A�f1� lf
PERMIT 1.00, GAS TEST ,9�/ 1 .94,
• - UTILITY CO..NOTIFIED t f
TOTAL FEE
FINAL
76A667 DBS##17; 6-52