HomeMy Public PortalAbout5334 PAL MAL AVE_Plumbing__ f DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
' COUNTY OF LOS ANGELES
BLILOI NO
WILLIAM L FOX, COUNTY ENGINEER ADDRESS Y .
FOR APPLICANT TO FILL IN
LOCALITY
BUILDfNG r�r
ADDRESS 77 9y � f, CROSS ST. CJ
DISTRICT NO. GROUP ZONE PERMIT NO.
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LOCALITY / (� C GI 4 �J / I /
99
NEAREST /�} LOeO
CROSS ST. �/ y r CEI ED BY Ready feoaotion D TE ISSUED
OWNER � rHf /O CI- J ' F�^ 2- .1 Jr
MAIL IffidUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL.NO. ;4:�I NSPECTION RECORD
fiArPLUMBER Zx
r U�
ADDRESS �7 "/ ,fi
CITY/ 2bb 6z( TEL NO. 'ro 7-/6 J�4
/J y�y ❑STATE
LICENSE NO. 7 / [__ n COUNTY
_A
PERMIT FEES z
'IUM.ER TYPE OF FIXTURE OR ITEM PEE
WATER CLOSET(TOILET) @ 0.80 S 4 0
BATH TUB @ 0.80 O
'F
SHOWER @ 0.80 / hC
LAVATORY (WASH BASIN) @ 0.80 .70
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
GASSYSTEM.......,. ...OUTLETS @ 1.00
WATER HEATER @ 1.00 GV
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING 1ni(�,.",.✓
TOTAL FEE I 7 T/ GAS PIPING �I3
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GASVENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIF RNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE SC ED ESI" NTIAL PROP RTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE _.. .. ._.. .. .. FINAL L
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