HomeMy Public PortalAbout10103 LYNROSE ST_Plumbing__ ,eA$67 17 9-50 APPLICATION FOR PERMIT
s DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING' 1
WILLIAM J. FOX. CHIEF ENGINEER _
Ij FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER VALLEY BOULEVARD PLUMBING CO, RECEIVED FIRST INSPECTION ED BY READY FOR DATE ISSUED
_
ADDRESS 8300 EAST VALLEY BLVD, r� C' 2 A
CITY ROSEMEAD TEL NO. AT. 2-2717 ADD EISS
COUNTY 93M 6.30•,$ LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) Q 0.50 $ 040 ADDRESS
/ BATH TUB Q O 50 CITYLftSTEL. NO ,�
SHOWER @ 0.50 0 1 HEREBY AC OWLEDGE THAT I HAVE READ THIS
1 LAVATORY (WASH BASIN) @ O 50 I Q APPLICATION AN STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
/ KITCHEN SINK O 50 STATE LAWS REGULATING PLUMBING
�9 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O Sol �Y ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWN R
�e OF THE RESIDENTIAL PIER DESCRIBED ABOVE.
GAS SYSTEM OUTLETS Q O 50 V SIGNATURE OF
WATER HEATER @ 0 50 1 e9 PERMITTE
SLOPSINK Q O 501 INSPECTION RECORD
FLOOR SINK @ O Sol
FLOOR DRAIN @ 0 Sol
DISHWASHER @ O 501
.,.1 DRINKING FOUNTAIN Q O 50
URINAL @ O 501 J
HOUSE SEWER Q O 50' 1 Z
MISCELLANEOUS 1
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APPROVALS
DATE/ / INSPECTOR'S NAME
ROUGH PLUMBING ( I`J / /!�
GAS PIPING
GAS VENT
CESSPOOL Q 1 001 CESSPOOL
SEPTIC TANK- I SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 001 SEWER
PERMIT . . I 1 00 GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE I $
FINAL