HomeMy Public PortalAbout10633 LYNROSE ST_Plumbing__ 76A667, 1388 17 7-51 APPLICATION FOR PERMIT
"DAgENT OF BUILDING AND SAFETY
��. COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBINU am,
FOR APPLICANT TO FILL IN DIST:rNO. G
ROUP —/ �Pi
m� ""
PLUMBER 37- ME-
BUILDING
DY FOR G�,J\DATE ISSUED
I' NSPECTION _c
ADDRESS 'o / _ ,/�11 LF J
r )ray/ A p j: P�
CITY �'' /�/1 Y TEL Na. f d. o,13V6 __ MBB y (I y P A n.�wo P e
COEN E NO. a ® 4A, EXPIRES d j j LOCALITY
NEAREST U , J
PERNIIT_FEES.• DRoeB BT. .f�.l.+.�����• , ��! .�rt,rv�ri
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER D l , ted" Ul ft2_"-_44
WATER CLOSET(TOILET) 0.50 $ b MAIL ADDRESS itsLsi I. 4
s
0.50 l a
BATH TUB 'CITY �J.�+,�.�,1/�•' � _�.s STEL No. IYr�_ A• ,
p SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
y LAVATORY (WASH BASIN) 0.50 .SPS AND AGREE TO COPLICATION AND MPLY WITH ATE RABOVET THE ALL COUNTY ORDINANCES
KITCHEN SINK Q 0.50 AND STATE LAWS' REGULATING PLUMBING.
' CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
�q OF THE RESIDENTIAL' PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS 0.50 .]v SIGNATURE OF
WATER HEATER 0.50 PERMITTED
SLOP BINK @ O.SO INSPECTIO . RECOR
FLOOR SINK 0.50
FLOOR DRAIN O.BO �Z b'i; �E S� !�d•C, t�M•2.---
DISHWA13NER f() C:SO �_ r�,siS!
DRINKING FOUNTAIN 0 0.50 ^ k
URINAL QB 0.50 ° A
HOUSE SEWER 0.50 Z
MISCELLANEOUS m
0
APPROVALS
DATE IN6PE OR1B NAME
ROUGH PLUMBING
GAB PIPING —
BAB VENT
CESSPOOL @ 1,00 CESSPOOL
SEPTIC TANK. SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00 . SEWER _
PERMIT 1,00 OAS TEST ^
TOTAL FEE
UTILITY CO.NOTIFIED
N
FINAL