HomeMy Public PortalAbout5543 PAL MAL AVE_Plumbing__ 7u GR[17 T-m APPLICATION FOR PERIM
DEPARTMENT OFTG AND SAFETY PLUMBING
COIINTY LOS ANGELES
M
WILLIAJ..OF
LOS FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN O
Il
PLUMBKR VALLEY BOULEVARD PLUMBING CO. R[C IYED er READv ►oR DAT[ IS—SUED
FIRST INSPECTION
ADGREBG 8300 EAST VALLEY BLVD.
CITY ROSEMEAD TEL No AT 2-2719 ADDORMMS
COUNTY 93M 6.30. ' - LDOAL'TY
DEXPIRES
envww ovn NCM 6HT
P✓VRh FEES CROBOBT '
N11MBW T m oI FI%TRII[OR 1TEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ D BO S ADDRESS
BATH TLB @ OBD CITY TEL No
SHOWER @ moo 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ TRIG
LAVATORY (WASH BASIN) @ 1350 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ O s0 AND STATE LAWS REOULATIND PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY @ DSD ANGELES COUNTY LICENSE. OR 1 AM THE EGAL OWNER
DAB SYSTEM OUTL[T8 @ O BO OF THE RESIDENTIAL ROPERTY DESCRIB LAS
BIONATUR[ OF
WATER HEATER @ 050 MITTS
GLOP SINK @ O SO SPECTION RECORD
►LOOK BINK @ O s0
FLOOR CRAW @ 050
DIGHWASHER @ O so
DRINKING FOUNTAIN @ 050
URINAL @ O SO J
Q
HOLBC BtW[R @ 050 Z
MISCELLANEOUS M
" O
APPROVALS
DATE IMVEGTDRa NAM[
ROUGH PLUMBING rN
GAB PIPING
OAS VENT
CESSPOOL @ 1.mCESSPOOL
8EPT10 TANKI SEPTIC TANK
ORAIM ( ) PIT ( @ 700 SEWER
PERMIT 1 DO DAH TERT D-
UTILITY CO.NOTIFIED
TOTAL FEE G -�
nNA O D�