HomeMy Public PortalAbout10131 LYNROSE ST_Plumbing__ �LIOA607 17 s-Bo KD APPLICATION FOR PEMT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
I WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
VALLEY BOULEVARD PLUMBING C01
PLUMBER
RECEIVED BY READY FOR DATE ISSUED
8300 EAST VALLEY BLVD. FIRST INSPECTION �y
ADDRESS p /
nOS"MEAD BUILDING
CITY TEL. NO. ADDRESS
COUNTY .� LOCALITY
LICENSE NO EXPIRES -
NEAREST
PERMT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL O
WATER CLOSET (TOILET) Q 0.50 $ 00 ADDRESS ;} _
BATH TUB Q O 50 0 CIT EL. NO.
SHOWER Q 0.50 1 HEREBY AC OWLEDGE THAT t HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE/
IS CORRECT AND
LAVATORY (WASH BASIN) Q O 50 _ AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 50 0 STATE LAWS REGULATING PLUMBING.
LAUNDRY TUB OR TRAY Q O,s0 01 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
ANGELES COUNTY LIC-?
IC NSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL R•PERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS Q O.50
SIGNATURE OF
WATER HEATER @ O 501 Z� PERMITTE
SLOP SINK Q o so I INSPECTION RECORD 6'
FFOR SINK Q O 50
OR DRAIN @ O $01
HWASHER @ 0 501
NKING FOUNTAIN @ O 50INAL @ O 501 I J
1 HOUSE SEWER @ O Sol I Z_
MISCELLANEOUS
1�
1-J
1�
1
APPROVALS
DATE INSPECTOR'S NAME
IT ROUGH PLUMBING s e / I
I GAS PIPING /� g" A4
GAS VENT
G
CESSPOOL @ 1 00 I I CESSPOOL
SEPTIC TANK I I SEPTIC TANK f
I DRAIN ( ) PIT ( ) Q 1 00 I SEWER
PERMIT . 1 00 GAS TEST
ter, UTILITY CO NOTIFIED
TOTAL FEE $ !Or /
' FINAL /