HomeMy Public PortalAbout5336 PAL MAL AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FOR APPLICANT TO FILL IN LOCALITY i
ADDRENG 5- 336 .Pa. // 2 �/ NEOSS ST-
AREST p
CR DISTRICT NO. GROUP ON PERMIT NO.
LOCALITY �� - , -E. �y r I 0 7n4
NEAREST
CROSS ST. /� 1✓ f' ECE ED BY Ready for DApeetlon A EIB UED
rte- ss�
OWNER 7 • '"fD-„ bti7M F 1
MAIL STRIAE
ADDRESS WASTE APPROVAL
CITY TEL.NO. /INSPECTION RECORD
PLUMBER ,J i^P r�j7 1'} 1L A0
ADDRESS
S :Z .]� Jr Cl//J O c. -
CITY f ) TEL.N0. �� ��/ Q
❑STATE
LICENSE NO. '] 0 COUNTY
J
PERMIT FEES i
4UM9ER TYPE OF FIXTURE OR ITEM PEE L,1
WATER CLOSET(TOILET) 0 0.80 f 70
O
BATH TUB 0 0.80 Z6
SHOWER 0 0.80
TLAVATORY(WASH BASIN) 0 0.80 -0
/ KITCHEN SINK 0 0.80 y O
LAUNDRY TUB OR TRAY @ 0.80 Q
SLOP SINK 0 0.80
FLOORSINK 0 0.80
FLOOR DRAIN 0 0.80
DISHWASHER 0 '0.80
DRINKING FOUNTAIN 0 0.80
URINAL _ 0 0.80
GAS SYSTEM........ ._.OUTLETS 0 1.00 OCJ
WATER HEATER (p 1.00 OO
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT s 1 00 ROUGH PLUMBINGLf
M' el�
TOTAL FEE �(� GAS PIPING1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GASVENTCATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
ANO/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TESTAND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE DE CRIBE RESIDEN�L PROPERTY UTILITY CO.NOTIFIED
SIGNATURE /��uppJ
OF PERMITTEE........ .. .. .....__.. . .... _ ......_.__
FINAL
76A887 DBS 17
12-53 G/)"