HomeMy Public PortalAbout10159 LYNROSE ST_Plumbing__ a '
7OA667 n s-Bo 1 APPLICATION FOR PERMIT
C DEPARTMENT OF BUILDING AND SAFETY 3
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE 7PERMIT O.
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PLUMBER VALLEY BOULEVARD PLUMBING CO. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 8300 EAST VALLEY BLVD.
BUILDING
CITY ROSEMEAD TEL NO. AT. 2-2719 ADDRESS /D s-/'
COUNTY 93M 6-30-5 LOCALITY
LICENSE NO. EXPIRES
NEAREST ✓.
PERMIT FEES I CROSSST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
(� MAIL
WATER CLOSET (TOILET) Q 0.50 I$ ADDRESS
BATH TUB Q O 50 I O CITY TEL NO �"
SHOWER Q O 50 D I HEREBY A KNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Q O 50 I Q APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q O 50 1 qz)
STATE LAWSREGULATING PLUMBING.
CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIA PERTY DESCRIBED ABOVEGAS SYSTEM OUTLETS Q O SOI SIGNATUREOFPERMITTErillIWATER HEAT R Q O 50I _
SLOP SINK Q 0.501 INSPECTION RECORD
FLOOR SINK Q O 50
FLOOR DRAIN Q O 50
DISHWASHER Q O 501
DRINKING FOUNTAIN Q O Sol
URINAL Q O 501 ,J
a
HOUSE SEWER Q O 501 Z
MISCELLANEOUS I U`
1 �
I 0
I
I�
APPROVALS
DATE ! INSPECTOR'S NAME
1 ROUGH PLUMBING //
GAS PIPING
GAS VENT
CESSPOOL Q I 00 11 CESSPOOL
SEPTIC TANK I I SEPTIC TANK
DRAIN ( ) PIT ( ) -R- ' 00I I SEWER
PERMIT 1 00 GAS TEST -�...G3` 3.a o7
Imo, UTILITY CO NOTIFIED
TOTAL FEE $ %�
it FINAL