HomeMy Public PortalAbout10626 LYNROSE ST_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING //5 / n
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS ((�J G7 ` �✓' 1�.� `I
FOR APPLICANT TO FILL IN LOCALITY; C�
BUILDING NEAREST
ADDRESS CROSS ST. I/Lrt
DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY L" � �-n/b
NEAREST 7 !�'
CROSS ST. R CEIVEDBY Ready for Inapeotion DATE ISSUED
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OWNER vo lC.r�l
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL.NO.
INSPECTION RECORD
PLUMBER
ADDRESSdY�.p1 1
CITY . I�'r� /+ry TEL.N0.Ar" d.'� vi
❑STATE
LICENSE NO. �!/7 n COUNTY J
PERMIT FEES a
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VUMBER TYPE OF FIXTURE OR ITEM FEE 1'
WATER CLOSET(TOILET) @ 0.80 $ t a
BATH TUB @ 0.80 C)
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80 'L')
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80 (�
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80 /
GAS SYSTEM...... ...._OUTLETS @ 1.00 / CJ
WATERHEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSSPECTOR'S SIGNATURE
UNDERSLABWORK 16 `r'//./ �+ `/1La' -
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE I I op GAS PIPING 11 n
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLI- GAS VENT ��//
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER �c^ ',y�
REGULATING PLUMBINGTO OMPLY WITH ALL . PLUMBING
ORDINANCES AND STATE LAWS PLUMBING FIXTURES Z'/�iT Gt+.�`ts-,� .
STERED
AND/OR LICENSED I HEREBY RIAS REQUIRED BYFY THAT I AM PLOS ANGELES ROPERLY (COUNTY GAS TEST L' 7-
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- 1�
FINAL
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIEDSIG
r OF PE URE 1 �.9.7 t
OF PERMITTEE... _....:...<• ..�..,_-.:'•.._......_..--
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