HomeMy Public PortalAbout5934-5934 1/4 5934 1/2 PRIMROSE AVE_Plumbing__ 76A667 DBB 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICTR.O P .
FOR APPLICANT TO FILL IN
11 1 — s�S7144
PLUMBER 7//w
R,rO�p IIIVEpD BY READY FIRST INSPECTION D
/ ATES ISSUED
ADDRESS w . f/ cto f►+' °A
f1/firp BUILDING
CITY 1 + TEL.No. 3� ADDRESS
LOCALITY (1/V6A//ld/"'�
LICENCOUNTY FE NO. 66 EXPIRES 3
NEAREST
PERMIT FEES CR-099 ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) or 1¢ ADDRESS
3 BATH TUB ® O CITY TEL. -No.
SHOWER O O I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) O APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ O AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O.Siq ANGELES COUNTY LICENSE, RTY DE9CR1 D A OR I AM THE LEGAL OWNER
GAB SYSTEM OUTLETS
OF THE RESIDENTIAL P � VE.
3 .
GNATURE OF
WATER HEATER SI
PERMITTE
SLOP BINK @ 0.50 INSPECTION RECORD
FLOOR BINK a .5
FLOOR DRAIN @ 0.50 MARK)—
e
DISHWASHER 0 0.513
DRINKING FOUP4TAIN @ 0.50
URINAL @ 0.50 A
HOUSE BEWER 0.50 -�� �� n Z
MISCELLANEOUS
!Y
I °
® U ? ,EJ'
zu - rs
APPROVALS
y,�/ DATE IN
/�SPECTOR-0 NAME
ROUGH PLUMBING&q In R5
GAS PIPING �-
GAS VENT
CESSPOOL @ 1:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER �/ a Qy/7
PERMIT I 1.0' GAS TEST 71 `- //�Yrf —/Q. LRY��
UTILITY CO.NOTIFIED , 9-bvl al
TOTAL FEE
FINAL