HomeMy Public PortalAbout5136 SERENO DR_Plumbing__ rO"7 n W50 ID APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
,COUNTY OF LOS ANGELES
WILLIXWf J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
,S oaG/
PLUMBER BAlvedera Plumbiniz Co. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION /
ADDREee 1 6 S Palm Ave.
CITY Alhambra Td NDA G2 BUILDING 136 Sereno
j� n�1 ADDRESS /�
CIO ENG NO 808M 1 6/30/51 LOCALITY City
CROBG GT Rosemead
PERMIT FEES }.j
NUKIMR TY'[or FIXTURE OR ITCn
H FEE OWNER W. E. Gra
150 MAIL
Z WATER CLOGET TOILET O SO ADDRESS
L BATH TUB 0 O EO G CITY TEL NO
SHOWER a O SO 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY WASH BASIN) 0 O SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
Z KITCHEN BINK a O Eo 50
STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VAUD LOS
LAUNDRY TUB OR TRAY a O SO ANGELES COUNTY LICENCE OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
Z 1 GAS SYSTEM-Al-OUTLETS a O SO 50 BIGNATURE OF
WATER HEATER a O SO 50 1 PERMITTEE 4i.
SLOPSINK 0 O SO INSPECTION RECORD
FLOOR SINK a O SOI
FLOOR DRAIN O SO
y v
DISHWASHER a O SO
DRINKING FOUNTAIN a O SO
URINAL a O SO J
HOUSESKWER O SO Z
MISCELLANEOUS 2 V
B:
Am 11
/ 0
N64 YC.a--
Nd O
DATE+ IN.FCCTOR A
ROUGH PLUMBING q-
GAB PIPING
GAS VENT
CESSPOOL e 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( I PIT I 1 ® 1001 SEWER
PERMIT I 'Do GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE E O
FINAL
✓352 L