HomeMy Public PortalAbout9918 NADINE ST_Plumbing__ �sAse� n B-so APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
' COUNTY OF LOS ANGELES
PLUMBING 1
WILLIAM J. FOX. CHIEF ENGINEER
I FOR APPLICANT TO FILL IN DISTRICT O. GROUP ZONE . PERMIT NO.
S 4O
r BOULEVARD PLUMBING (A RECEIVED BY READY FOR DATE ISSUED
PLUMBER
8300 EAST VALLEY BLVD. FIRST INSPECTION
ADDRESS
ROSEMEAD AT. 2-2719 BUILDING
CITY TEL. NO. ADDRESS
COUNTY jr LOCALITY '
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL 4/
WATER CLOSET (TOILET) @ 0.50 8 ADDRESS / `J
BATH TUB @ 0.50 o CITY TEL. NO. 6
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH.BABIN) 0.50 d APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK 0.50 6 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 O ANGELES COUNTY LICENSE. OR i AM THE LEGAL OWNER
OF THE RESIDENTI ROPERTY DESCRIBED ABOV
GAS SYSTE OUTLETS 107 0.50 SIGNATURE OF �-
WATER HEATER @ 0.50
"-a PERMITT
47
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN 0.50
URINAL @ 0.50 a
HOUSE SEWER @ 0.501 Z
MISCELLANEOUS I a
a
o
1
I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.001 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE FINAL