HomeMy Public PortalAbout10627 LYNROSE ST_Plumbing__ 76A667 oBs,� -s, APPLICATION FOR PERMIT
,.SM&&T OF BUILDING AND SAFETY.
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER �p
ZONE -PMMIT NU.
FOR APPLICANT TO FILL IN D X77 1d -A /` ,�,_ /���5>
PLUMBER Pa.- W S �r� RECEIVED BY READY FOR DA E ISSUED
I . FIRST INSPECTION t�
ADDRESS J I V I-4 A✓It (y+/, %
113
CITY
CITY �' �� !r ) T TEL No. •/y" !7•1-3v&
COUNTY s LOCALITY I t v V •
LICE SE No. a EXPIRES %0 7
NEAREST
PERMIT FEES , CROSS BT.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) a 0.J50 # Q ADDRESS
BATH TUB @ 50 x D CITY TEL No.
SHOWER I?) O 50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) D.5O APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 13'."413 AND STATE LAWS REGULATING PLUMBING.
F. CERTIFY THAT I POSSESS THE-ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 13/50 yj� ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
of THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM 2 UTLETS @ .so ` D SIGNATURE OF A
WATER HEATER 0 C.SO n PERMITTEE_
SLOP SINK 0 D D INSPECTION RECORD l:
FLOOR SINK .60 ���� � ��� � `,/J �•�r.,
FLOOR DRAIN Q 0.60 v
DISHWASHER I 5O
DRINKING FOUICTAIN 0.60
URINAL Q OSO J
HOUSE SEWER X0.50 Z
(7
MISCELLANEOUS �
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING .� ..
GAB PIPING
GAS VENT
CESSPOOL 6)? 1.00 CESSPOOL
SEPTIC TANK- SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT 1,.00 I GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE -,j
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v 0FINAL