HomeMy Public PortalAbout5841 ROWLAND AVE_Plumbing__ 76^9567 i013 17 11.60 - APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY PLUMBING
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT 43. BR13 .
FOR APPLICANT TO FILL IN '—_ gw,'l O 754
34/
PLUMBER ]��LE
BY READYFOR DATE ISSUED
ADDRESS FIRST INSPECTION
7--r7 I
BUILDING
CITY TEL No. ADDRESS zrl.�-
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COUNTY LOCALITYCpl. !
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST. `A•
NUMBER TYPE OF PIXTURE.OR ITEM FEE OWNER )
MAIL
WATER CLOSET(TOILET) 0.50 R ADDRESS
BATH TUB 0.50 CITY /+�"y����- � 6L 7/w TEL, No.
SHOWER 0.50 1 HEREBY AiCKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE TO COMPLY WITH ALL CDUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE A80VE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWN R
GAS SYSTEM CUTLETB Q 0.50 OF THE RESIDENT L PROPERTY D SCRIS D ABOVE.
SIGNATURE OF
WATER HEATER 0.50 PER MITTE
SLOP BINK 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.50 �
DRINKING FOUNTAIN 0.50 �Z d ' A- sa I I-
URINAL O.BO J
HOUSE SEWER 0.50 Z
MISCELLANEOUS 0
O
APPROVALS
DATE INSPECTORIS/NAME
ROUGH PLUMBING D• 4�/'
GAS PIPING
OAS VENT
CESSPOOL 1;1313 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT 1.00 1 GAS TEST
TOTAL FEE Z 0101
UTILITY CO.NOTIFIED /
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FINAL