HomeMy Public PortalAbout6112 ROSEMEAD BLVD_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY PLUMBING i�
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN
DISTRICT NO. GROUP ZONE PERAIT N13.
'7—r 'R_� �? oe. e3 r
PLUMBER RE EIVED BY READY FOR DAT IB UED
FIRST INSPECTION 1i C®�
ADDRESS ®�96' BUILDING
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CITY �Xr COUNTYG� TEL.NO-101--a /Z:N p ADDRESS C���/ �9® ®� <Ie2��
LICENSE NO. { EXPIREBL!UM 2. .moi LOCALITY /G� �Yd ..t7
NEAREST
PERMIT FEES CROSS ST. ®dj fl
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER SAP7/a
MAIL
WATER CLOSET(TOILE" @ 0.50 gl 1 ADDRESS
BATH TUB ' ® 0.50 S CITY TEL. NO.
SHOWER Q 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 �Q�1 APPLICATION AMC STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 'L-7p AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POBBESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 M ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
B GAS SYSTEM OUTLETS @ 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
SIGNATURE O� Y � �p�
WATER HEATER @ 0.50 $, 4� PERMITTE
SLOP SINK @ 0.50 INSPECTION RECORD tr
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN ® 0.50
URINAL 0.50 Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS 19
D:
O
APPROVALS
DATE INSPECTOR-IS NAME
ROUGH PLUMBING
GAB PIPING
GAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK* SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER C,�
• r
PERMIT 1.00 GAB TEST � 01. _T__ 7/4
UTILITY CO.NOTIFIED 1' V iG 'Al
TOTAL FEE S t pfd/
FINAL V « f;`",w;A
76A667 DBS#17 6-58