HomeMy Public PortalAbout6013 PRIMROSE AVE_Plumbing__ 7BAS67 n s-a®@ APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING' I
r *LIAM J. FOX. CHIEF ENGINEER
'FOR APPLICANT TO FILL IN DISTRI�NO. GROUP I ZONE PERMIT NO.
PLUMBER MNTANA PLUMBING CONTRACTOR, RECEIVED BY READY FOR �I ATQEIS ED
FIRST INSPECTION
ADDRESS
344 W. Garvey - Monterey Park, � ;'i
12,
ATlantic 2-4654 CUmberland 3-104 BD
CITY
q/�� TEL. NO.COUNTY qB ADDRESSUILING
4 CEN E NO. !/� e.m: EXPIRES� ol%0. LOCALITY
-v U REST
CROSS ST. � l��V , '
PERMIT FEES a
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER v t.4
MAIL
WATER.CLOSET (TOILET) 0.50 S ADDRESS
BATH TUB O.50 CITY TEL. NO.
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) ® 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 a.5 t6) ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PRIPPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50
SIGNATURE OR
WATER HEATER @ 0.50 PERMITT.EE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50 /
DISHWASHER @ 0.50 - ?�`� `f ARI ./ vg'- `An V
DRINKING FOUNTAIN @ 0.50 -1 Y C(I
URINAL @ 0.50 -- J , /n ;
HOUSE SEWER ® 0.50
/�12AI ' Z
MISCELLANEOUS /_/�� /�/ G Ja�✓ ��•7�!�h /]���a
IBJ
APPROVALS
DATE IpNSPEOTOR-B/NAME
ROUGH PLUMBING z`I 1""67
GAS PIPING
GAS VENT _
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK i
DRAIN ( . .) PIT ( ) @ 1.00 SEWER
PERMIT . 1.00 GAS TEST
TOTAL FEE
UTILITY CO. NOTIFIED n
$ ® � FINAL