HomeMy Public PortalAbout5059 SERENO DR_Plumbing__ DEPARTMENT OF COUNTY ENGINEER
PLUMBING 1
(DIVISION OF BUILDING AND SAFETY PERMIT APPUCATION
COUNW OF LOS ANGELES Bu1L0I NO
b
WILLIAM J FOX, COUNTY ENGINEER ADDRESS S
R APPLICANT TO FILL IN LOCALITY
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BUILDING NEAREST If
ADORE88 O CROSS ST
7�� /� G/ y DISTRICT NO OROU 20NE PENNIT MO
LOCALITY �, 0 S3
NEAREST
CROSS ST ' `— 1 R�IV R8[RT 1[r lu*"U[o /DATEIBBUED
OWNER //cogA) LL(( ,5
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL NO 1-- INSPECTION RECORD/'1
PLUMBER 5 flQ.vd�e �/ �� r
ADDRESS 2=0 / ooh�T-
CITY , L /crlyOA TEL NO J•C{ O/1:1 STATE
S S�
LICENSE NO d / D A 00U NTY '`^
PERbIIT FEES c sv-- i
VOMB[R TMP[ OI IIXTOR[ OR M. FEE Q
WATER CLOSET(TOILET) 0 040 8 p — O
BATHTUB 0 O80 V 1G ,-,Sv--
1 SHOWER 0 080
LAVATORY(WASH BASIN) 0 coo
KITCHEN BINK 0 080
I LAUNDRY TUB OR TRAY 0 ORO b
SLOP SINK 0 080
FLOORSINK 0 ORO
FLOOR DRAIN 0 080
DISHWASHER 0 OM
DRINKING FOUNTAIN 0 Oto
URINAL 0 BSO
GASBYSTEY Y _OUTLETS 0 1.00 OV
WATERHEATER 0 1 00 IC o
MISCELLANEOUS
_ APPROVALS
_ DATE INSPECTOR'S 610MATURE
UNDER BUB WORK
PERMIT { I 00 ROUGH PLUMBING L
TOTAL FEE / 00 OAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GASVEMT
CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED
AMD/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAB TEST
AND STATE OF CALIFORNIA OR THAT I AN THE LEGAL OWN-
ER OF THE ABOVE DESCRBED RES E TIAL PROPERTY UTILITYCO NOTIFIED
SIGNATURE /moo
OF PERMITTEE YJ_If
18A661 DB8I7 1/53