HomeMy Public PortalAbout6159 ROSEMEAD BLVD_Plumbing__ 76A667 09917 11-50 APPLICATION FOR PERMIT
DEPARTMENT OFF LOS BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES •.
WILLIAM J. FOX. CHIEF ENGI ER
FDR APPLICANT l�C IN DISTRI
70"a• P )� e -AyS
PLUMBER READY FOR �'`1
I
RE VE Y FIRST INSPECTION D�A�T/E//f ISSUED
ADDRESSOh BUILDING
CITY Uv/ TEL.Na. ADDRESS �� ® �
COUNTY LOCALITY *112
e�lo ,
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST. .4
NUMBER TYPE OF FIXTURE OR ITEM FEE DWHER
MAIL a
WATER CLOSET(TOILET) 0.50 # ADDRESS -5-V:
ts
BATH TUB Q 0.50 CITY TEL. No.
SHOWER 0.50 1 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
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 �� ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERRTTYI;DESCRIBED ABOVE.
GAB SYSTEM CUTLETS 0.50 f SIGNATUREY/ 1
WATER HEATER 0.50 PERI
SLOP BINK 0.50 INSP 'ECTION RECORD
FLOOR SINK. 0.50
FLOOR DRAIN @ 0.50
DISHWASHER ® 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50 A
HOUSE SEWER 0.50 Z
MISCELLANEOUS
R'
O
APPROVALS
DATE INSPEOTOR-9 NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 7:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00 SEWER
F PERMIT 1.00 GAS TEST
TOTAL FEE UTILITY CO.NOTIFIED
sE; � _ 2,Z C .� •
FINAL
r