HomeMy Public PortalAbout10055 LYNROSE ST_Plumbing__ �eaee� 17 s-so IT) APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
.COUNTY OF LOS ANGELES
w� WILLIAM J. FOX. CHIEF ENGINEER '
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
�7 az 2
PLUMBER VALLEY BOULEVARD P111MRIN, CO. RECEIVED BY READY FOR DATEISSUED
FIRST INSPECTION
ADDRESS 8300 FASIVALI EY Rl vh_'
p p p r1 �y BUILDING /OO�, S ..
CITY ROSEMEAD TEL. NO. AT Z-2719 ADDRESS C�
COUNTY p LOCALITY
LICENSE NO.• • 93.M EXPIRES 6.30SI .
- - NEAREST
PERMIT FEES .' CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET.(TOILET) @ 0.50 $ CG�,'}D� ADDRESS �� �1'////JJgJJ
BATH TUB @ 0.50 I `ice V CITY �1�fPi>t .�i.� C'7-GL fEL. NO. �/f i'15-lelley,S,S
SHOWER. @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ rTHIS
` ffff APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) @ 0.5010 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK @ 0.50
• I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIALPROPERTYDESCRIBED.ABOVE.
GAS SYSTEM—Y—OUTLETS @ O.50 I �� SIGNATURE OF /�.d�,.cS� ��
WATER HEATER @ 0.50 I' �.� PERMITTEE _
_J SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
i
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.501 '
URINAL @ 0.501 J
HOUSE SEWER - @ 0.50'1 I Z
MISCELLANEOUS -
O
APPROVALS
DATE INSPECTOR'S NAME
- - IROUGH PLUMBING - - '
{
GAS' PIPING
GAS VENT VfO/
CESSPOOL @ 1.001 I CESSPOOL , �f
SEPTIC"TANK: - I SEPTIC TANK f
I DRAIN ( ) PIT ( ) @ 1.00I� SEWER I /
PERMIT -I 1.'00 GAS TEST 1 _
/r
UTI LITY CO. NOTIFIED)
TOTAL FEE
FINAL