HomeMy Public PortalAbout10645 LYNROSE ST_Plumbing__ 76AB67 °BB„ 11-603 - "`• = APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
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WILLIAM J. FOX, CHIEF ENGINEER 0,,W.
FOR APPLICANT TO FILL IN DISTRICTO PZONE PERMIT
PLUMBER READY FOR
RECEIVED BY DATE ISSUED
� FIRST INSPECTION
ADDRESS _/• i
ADD EBUILDING
SS SC 'k')-
TEL.CITY TEL No.
CDUNTY LOCALITY
LI ENSE NO. EXPIRES NEAREST
PERMIT FEES cRDes sr.. r rc J 1
NUMBERTYPE OF FIXTURE OR ITEM FEE
OWNERI i 'u4'- _
MAIL
WATER CLOSET(TOILET) @ 0.50110 ADDRESS
BATH TUB @ 0.50r
CITY TEL. No.
< HOWER - @ 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
~ LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
ft AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1•AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAB SYSTEM UTLETS @ 0.50
SIGNATURE OF �-
WATER HEATER @ 0.50 PERMITTE
SLOP BINK 40 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50 `a a s, •� Q ��'
FLOOR DRAIN @ 0.50 1 l� ,/►�,hgM,
DISHWASHER @ 0:50 ' ' e soA 0�°I `P s N1 D T 1� ,o
DRINKING FOUNTAIN @ 0.50 2 UJASTOF ® SO1lto .LN05
URINAL @ 0,50 N° PPS/D. IN F T0• I-
HOUSE SEWER @ 0.30 uAILFss 1—RO-TEC-rra f t� i-pa-m L)
MISCELLANEOUS $ I ri 1 FJ .Lp L I J), IL
tow-44% O Irl p
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APPROVALS
DATE INSPECTORIB NAME
ROUGH PLUMBING
r GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK. SEPTIC TANK
DRAIN( ) PIT ( ) @ 1.00SEWER
PERMIT 1,0310 GAS TEST n
• -'r'
UTILITY CO.NOTIFIED
TOTAL FEE lip
FINAL
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