HomeMy Public PortalAbout9366 LOWER AZUSA RD_Plumbing__ PLUMBING 1
DE1RMtMffl TE OF COUWY MMMER
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
O&MY OF LOS ANGELES BUILDING
WILMAM J: FOX, 'COUNTY ENGINEER ..ADDRESS .J L o
LOCALITY 40 sp
5OR(pp 6PPLICANT TO FILL IN NEAREST
ADBUILDING CROSS ST.
DRE8S . �
DISTRICT N0. GROUP I ZONE PERMIT.NO.
LOCALITY IL,}� �� S L✓/
NEAREST '
CROSS ST. �p //� (. Ready for Inapeetion DAT SS D
e
OWNER .- LT 8 L�
IMyAIL 9 jQ INOUSTR A
ADDRESSy(i�./H�Aer f &V PZ-e A V + WASTE A ROVAL
CITY�:J fryBAIALTEL.11oAtuINSPECTION RECORD
PLUMBER I&W&e&, '°-
ADDRESS
CITY TEL.N0.
[]STATE
LICENSE NO. []'COUNTY
PERMIT FEES z
•JUMBER' - TYPE OF FIXTURE OR ITEM FEE
_ WATER CLOSET(TOILET) 0.80 $
BATH TUB @ 0.80 !�l.�tJ at"a� p i-7 {."--
O
SHOWER 0 0.80
.LAVATORY(WASH BASIN) 0 0.80
KITCHEN SINK (R 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK 8I! 0.80
FLOORSINK @ 0.80
FLOOR DRAIN 0.80
DISHWASHER @
DRINKING FOUNTAIN 0.80
URINAL @ 0.80
GAS SYSTEM._ _._._OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDERSLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING r
TOTAL FEE GAS PIPING
1. HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH.ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST ��
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOyf DESCRIBED RESIDE TIAL PROrERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE. _-..__ ......: __.
FINAL
78.A607 DBS 17