HomeMy Public PortalAbout10627 ROSEGLEN ST_Plumbing__ COUNTY OF LOS ANGELES APPUCI1ITION FOR PERMIT
Department of PLUMBING 1
v DM$ION OF BUILDING & SAFETY
WILLIAM J. FOX, Caorty Emmiaw
FOR APPLICANT TO FILL IN I o I
FLUME RED[ MY FI RMT NI IFOOTION R DATE ISl �
ADDR[MM RAM FAST VAUEY BLVD, -
p Y7 (1 HUILDING
CITY 'EM TEL.No. AT. 2-2719, ADOR[q
COUNTLicemaY, U EXPIRES 6,3 I- LOCALITY
N EAREBT
PERNaT FEES ORORM MT.
Numm" TYri OF FD(TURC ON MCM FEE OWNER C
MAIL
WATER OLOf[T(TOILET) O 0.60 41 ADDRES
BATH TUO 0.50 CITY TEL NO.
OHOWER Q 0.60 I HERKUY ADKNCWLEDGE THAT I HAVE READ THI■
LAVATORY (WANH HABIN) 49 C.60 APPLICATION AND STATE THAT THE ABOVE 10 CORRECT
AND AORET TO COMPLY WITH AL1 COUNTY ORDINANCES
KITCHEN BINK 0.60 AND STATE LAWS REGULATING I-LUMPING.
1 CERTIFY THAT 1 1313.111111110111111 THE ABOVE VALID LOU
LAUMDRY TUB OR TRAY CLOD AMOELEH COUNTY LICENSE, OR 1 AM THE "MAL OWNE-R
GAM MYBTEM UTLET! 0.60 qF THE REMIDENTIA PROPERTY DK.MgRIHED OVL
■IGNATURI DF
WATER HATER Q 0.11113P[RidITTE
ULOT MINK CLOD INSPECTION RECORD
FLOOR SINK aeo
FLOOR DRAIN (List]
DISHWAAHER 0.60
DRINKING FOUNTAIN O.St]
URINAL a 0.w —�
t
HOUSE HEWER 0 0.&0 Z
M I S C ELLAN ED U1
❑
APPROVALS
DATIr IN dTOR•■ BAH[
ROUGH PLUMBING
QA I PIPING
M" VENT
CEJMPOOL 0 1.00 0LIMIT 00L
■EPTIO TANKI HEPTIO TANK l
DRAIN ( ) PIT 1.00 MdWLR
PERMIT . . 1.130 GAe TES
11
TOTAL FEE 4 UTILITY CO.NOTIFIED
NA
TEA-NT DM#1T 642