HomeMy Public PortalAbout6110 ROSEMEAD BLVD_Plumbing__ COUNTY of Los ANGELES APPLICATION FOR PERMIT
Department of County Engineer i�
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer PLUMBING
PERPIT NIM
FOR APPLICANT TO FILL IN D TRICT-NO. GRJ3UP ZCN
PLUMBER 7 a �y i°'! i. � 'a C,�. �j� READY FOR
e RECEIVLY DAT ISSUED
�� 99 FIRST INSPECTION
ADDRESS ��
f s . ; r UILDING
S�IIO .V i
0 ��.��i .mo
CITY TEL No. a 1 ADDRES
$, gt �n
COUNTY
LICENSE NO. EXPIRES Mogou e !? LOCALITY / _ 441 G� �� �'1 / :3e
NEAREST
PERMIT FEES
CROSS T.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 111 ��� ADDRESS
BATH TUB 0.50 CITY TEL. No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 s-,^jAPPLICATION 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 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 A� G
ANELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEMM OUTLETS @ 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
WATER HEATER 0.50 SIGNATURE
TER(L
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN E)? 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN @ 0.50 b r�, U��1 I1>d L/-k-
URINAL 0.50 J
Q
HOUSE SEWER Q 0.50 Z
MISCELLANEOUS M
O
APPROVALS
DATE INBPECTORIB NAME
ROUGH PLUMBING Z'Z2
GAS PIPING a-- -7
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK. SEPTIC TANK
DRAIN ( I PIT ( ) Cei 1.00 SEWER A.,
PERMIT . 1.00 GAS TEST �+ 1'
TOTAL FEE �� UTILITY c0.NOTIFIED / d�I� 1&t
FINAL
76A667 DBS# 17 6-58