HomeMy Public PortalAbout5565 RYLAND AVE_Plumbing__ 7MOW 17 0-60 '® APPLICATION FOR PERMT L
•DEPARTT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �.� �. �. 1 .
WILLIAM J.. FOX, CHIEF ENGINEER,
FOR APPLICANT TO'FILL IN blSTRI ANO.. 'GRO ZONE PERMIT NO.
PLUMBER
VALLEY BOULEVARD PLUMBING .CO. RECEIVID'BY READY FOR
DATE I UED
ADDRESS "900 EAST-VALLEY BLVD.: � ` , ^ - •FIRST INSPEC'T'ION
d ' 'ate
CITY
ROSEMEAD TEL.''NC. ATi'2-2739 AD DRESS
_ � - dn
COUNTY 93M. 6.30- j/ LOCALITYLICENSE NO. EXPIRES ,,NEARESTPERNIIT'FEES cRoss sT.NUMBER TYPE OF'FIXTURE OR ITEM •FEErYMAIL
ADDRESSWATER CLOSET.(TOILET.) (gZ O.50: $ ,�O BATH TUBSHOWER 40-0.50 aS`d �
1 HEREBY CKNOWLEDGE THAT I HAVE
LAVATORY (WASH BASIN) Q 0.50' D' AI'1'LICATION �D STATE THAT THE ABOVE IS CORRECT-AND
AGREE TO COMPLY WITH ALL. COUNTY-ORDINANCES AND
KITCHEN SINK (g� .0.50 �! .STATE LAWS REGULATING PLUMBING.
f CERTIFY THAT 1•...POSSESS THE ABOVE 'VALID LOS
/ LAUNDRY TUB OR TRAY .0`.50 ry ANGELES. 'COUNTY LICENSE. OR. I AM THE LEGAL OWNER
I "'OF THE RESIDENT•IA PROPERTY DESCRIBED Aa.
GAS SYSTEM �� OUTLETS @ 0.50
?SIGNATURE OF ,/
' WATER HEATER O.SO' ' PERMITTEE z5rA oma! t��IlYLr1 LLG i�
SLOP SINK. 0.so. INSPECTION RECORD
FLOOR SINK O.s0
FLOOR DRAIN: Q 0.50.
DISHWASHER'. 0 0.60 :
DRINKING FOUNTAIN 4 (tlf 0.50
URINAL @ 0.50
J
HOUSE SEWER 0.50., Q
Z
MISCELLANEOUS ('
.. 0'
- APPROVALS
DATE INSPECTOR'S NAME
ROUGH .PLUMBING.
I{
GAS PIPING
9 1 1 • ,
GAS VENT
CESSPOOL. (a] 1:00 CESSPOOL• p
•SEPTIC TANK: ' SEPTIC TANK
DRAIN (. ) PIT ( ) I.-00 SEWER
PERMIT.; i•..00•. GAS•TEST'
UTILITY CO. NOTIFIED ✓H
lee
TOTAL FEE
It `
V FINAL 1 / '