HomeMy Public PortalAbout5837-5837 1/4-5839 1/4-5839 1/2 PRIMROSE AVE_Plumbing__ - --._z
.. COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DepartmeF BUILDINof CountLDIN Engineer
ETY
DIVISION OF G gi SAF
WILLIAM J. FOX, County Engineer
PLICANT TO FILL IN
DIS RIC NO. GROUP I ZONEPER .
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R RECEIVED Y READY FOR DAT I UED
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CITY(e' �d�� �j 9 TEL No. 4 Fag d F/ ADDRESSCOUNTY ®� �b:/� �'��a���• /��'�/St �0
LICENSE NO. Q ! EXPIRE '1A@ `� 653 LOCALITY ✓✓ter^ice �c ��
NEAREST ry
PERMIT FEES CROSS ST. -�+-_4. 7'�'�Z 6- r-:
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NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER 2 L? X' 2
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MAIL
WATER CLOSET(TOILET) ® 0.50 $ AA d ADDRESS
BATHTUB 0.50 9InCITY / C TEL. No.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPICATION AND STATETHE A813VE IS CORREOT
LAVATORY (WASH BASIN) @ 0.50 ANDL
LAGREE TO COMPLY WITHAALL COUNTY ORDINANCES
KITCHEN SINK a D.50 10 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 90 ANGELES COUNTY WENSE g11 AM THE LEGAL O NER
OF THE RESIDEN L PR DESCRIBED ABOV
17 GAS SYSTEM OUTLETS 0 0.50 'of r
SIGNATURE OF
WATER HEATER 0.50 ®� PERMITTE
SLOP SINK @ C.So INSPECTION RECORD
FLOOR SINK 0.50 ��' tJ�� T��✓ v
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL 0.50
Q
HOUSE SEWER @ O.SC Z
MISCELLANEOUS
ak d m/iL 46N�Q 88 O
J APPROVALS
DATE INSPECTOR•B NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 7,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 7.00 SEWER
PERMIT .
t.Da GAS TEST
�y UTILITY CO.NOTIFIED ./
TOTAL FEE Fs O o /J -
FINAL v`
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