HomeMy Public PortalAbout10659 LOWER AZUSA RD_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
ISTRI:CT ND. GROUP ZONE
FOR APPLICANT TO FILL IN
PER
A- )
PLUMBERAD
READY FOR
RECEIVED PLUMBING FIRST INSPECTION DATE ISSUED
CO.
ADDRESS
8300
g0EAST 1/R �L2�,r
ppALLEY BLVD. BUILDING /
CITY ROS ,1 TEL NO. AOORE98
COUNTY LOCALITY_ p��r
LICENSEN O. .7EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM - FEE
OWNER
' MAIL.
WATER CLOSET(TOILET) 0.50 $ ADDRESS _
/ BATH TUB @ 0.50 CITY TEL. No.
SHOWERS 0.50 - 1 HEREBY ACKNOWLEDGE THAT I 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 @ 0.50 AND STATE -LAWS REGULATING PLUMBING.
1 CERTIFY THAT i POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
-OF THE RESIDENTIAL ROPERTY DESCRIBED ABO , .
GAS SYSTEM OUTLETS 0 0.50 L /
SIGNATURE OF
WATER HEATER 0.50 PERMITTEE 2g� �—j
SLOP SINK @ 0.50 - - INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN ® 0.50
URINAL 0.50 .1
Q
HOUSE SEWER @ 0.90 _Z
MISCELLANEOUS -
' Q.
O
APPROVALS
JJDATE I,NNGPE"Lm OR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT i All '
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK /
DRAIN ( ) PIT ( ) @ 1.00 1 SEWER
PERMIT .
1.00 GAS
�y UTILITY CO.NOTIFIED
TOTAL FEE O�
I FINAL
76A667 DBS#17 6-52