HomeMy Public PortalAbout10640 ROSEGLEN ST_Plumbing__ "AM-CtIE;817 11-V
APPLICATION FOR PLUMBING PERMIT 1
CO NTT OF LOS ANGELES
DUABTUM3IT OF COUNTY EN MCEM p�,�
BUMDING AIS SAFETY Dd MON EILDMa O
FOR APMCANT TO FILL IN *F• T
CROSS S.
NUMBER FIXTURE OR ITEM
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PERMIT s OO ROUGH PLUMBING
TOTAL FEE d GAS PIPING'
I HEBEBT AC[MFLEME T I t�L1A1TE READ THIS AFFUCA TION GAS VENT
AAD STATE THAT TEED CORRECT AAD AGREE TO CDgPLT HOT WATER HEATER
In ALL COUNTY 0 1 CES AND STATE LAWS EEGULATIRG
PLP ZSING. PLUMBING IvIXTURES
I IPMM CERTIFY THATT I AAMAI(PROPER� ISTMM D/ORF GA$TEST / a
D STATE 0
CALIFORXI I OIL UCEFtm '" QTHAI THAT ANTES SGAL OVU�0f THE ABOVE U-nLrrY CO.NOTIFIED
DESCRIBE) SES1dENTIAL !'E3rTY.
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COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer PLUMBING
f DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX. County Engineer
TRI. T N.O. GR.O P ONE .
FOR APPLICANT T❑ FILL IN
PLUMBER "j RECEIVED BY `t READY FOR DATE _ISSUED .
FIRST INSPECTION
ADDRESS MCC) / -
_ �f -77[] BUILDING / �
CITY R�,:,: "':i�ir:{� TEL NO. AT. 2-2 17
COUNTY
LICENSE NO. T ipI EXPIRES 6'30' LOCALITY {/ �f
NEAREST
PERMIT FEES CROSS ST. .y
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER '07,
---- �
MAIL
WATER CLOSET(TOILET) @ 0.50 0 ADDRESS
BATH TUB Q 0.50 CITY TEL. No.
SHOWER 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASHBASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY �1 0.50 C�: ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
GAS SYSTEM OUTLETS_@ 0.50 Off' THE RESIDENTIAL PROPERTY DESCRIBE ABOVE.
WATER HEATER @ 0.50 / BIGNATUR PERMITTEF
SLOP SINK @ 13.513 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 -I
Q
HOUSE SEWER @ 0.50 _Z
MISCELLANEOUS E3
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❑
APPROVALS
DATE iNSAECT R'S NAME
ROUGH PLUMBINGLO `
r ,
GAS PIPING
GAS VENT
CESSPOOL @ 1.130 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . . 1.00 GAB TEST
TOTAL FEE l UTILITY CO.NOTIFIED
FINAL
76A667 DBS$ 17 6-52
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