HomeMy Public PortalAbout6012 PRIMROSE AVE_Plumbing__ 7GA667 Dea 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF NG ASAFETY PLUMBING
COUNTY OFF LOS LOS ND ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
� PERMIT N13-
F)3R JAPlCP��LICANT TO FILL IN 1 RI GROUP ZONE
PLUMBER 1�' f `" 1 1 / � �®
_.L.L 1 +r 1 J�%C,I�K RECEIVED BY READY FOR ®TE ISSUE
1 C� FIRST INSPECTION
ADDRESS ,141D .1 f- {���.•� �w f
A I 7p BUILDING
CITY TEL.NOsfp o ? / O ADDRESS ^�O.�,l(�`L ��11 s�4-surf tea'.:
COUNTY 7 r? '� EXPIRES a LOCALITY !-C'ss ,�` t 1 i
LIC NSE N0. NEAREST
PERMIT FEES U CROSS ST. �`s =�2�
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER ad �� !l`,L
MAIL
WATER CLOSET(TOILET) 0.50 S ry ADDRESS
BATHTUB @ 0.50 SL7 CITY. TEL. No.
I SHOWER 0.50 3 w 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
AND STATE THAT7- ABOVE 18 CORRECT
LAVATORY (WASH BASIN) Q 0.50 / h n ANDLICATION AGREE TO OMPLY W TH ALLHCOUNTY ORDINANCES
KITCHEN SINK @ 0.50 fp AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT i POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR i AM THE LEGAL OWNER
13A9 SYSTEM--Y—OUTLETS 0.50 5 p OF THE REBIDE�TIALLL/PROPERTY DESCRIBEDiABOVE.
WATER HEATER 0.50 .5 0 SIGNATURE OFj�f
PERMITTEE
SLOP SINK 0.513 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER 0:50
DRINKING F13UNTAIN 0.50
URINAL Cgl 0.50 -j
4
HOUSE SEWER 0.50 Z
MISCELLANEOUSt Ij .A4gpy••1 sp �
J �
APPROVALS
DATE INSPECTOR-11 NANZ
ROUGH PLUMBING
GAS PIPING /
GAS VENT 6
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK, SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT .
1.013 1 MAE TEST
UTILITY CO.NOTIFIED _ /1.
6p /
TOTAL FEE N d YV
FINAL
V