HomeMy Public PortalAbout5069 SULTANA AVE_Plumbing__ APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY
COUNTY OFF LOS LOS ANGELES PLUMBING
WILLIAM J FOX, cHlEr ENDINEER
FOR APPLICANT TO FILL IN J� ' AFF� //rr '
PLUMBER Lyman F. Msrry RECEIVED BY READY FOR DATE ISSUED
ADDRESS 825 E. Broadway ►IRSTINRP'CTION
AT I-e385 BUILD I ND C
DITY L• No ADDRESS J Sultana
DOUNTY 4686 RE 6/30/51 LOCALITY Temple City
NEAREST
PERMIT FEES CROSS UT
NYMC[R TYr[OF FIKTII[[OR ITEM FE[ OWNER
Uph E. Sanborn
MAIL
7 WATER CLOSET(TOILET) a O so B ADDRESS
RATH TUB a 050 CITY TEL No
SHOWER a OBD 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q O SO APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TC COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK a DSO AND STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY ® 050 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
GAB SYSTEM UTLETB ® 050 OF THE RESIDENTIA PROPERTY DESCRIBED ABOW
SIGNATURE OP n �^A �OJ �
WATER HEATER a 050 PERMITTEE
SLOP SINK a 0 30 INSP CTION CO
FLOOR BINK ! 050
FLOOR DRAIN a Goo �l
DISHWASHER a 050 �•'�
DRINKING FOUNTAIN a O so
URINAL ! O 60
HOUSE SEWER a 050
MISCELLANEOUS J
a
# • n o
I
� � ' ssAbc •
� A N•
�u.v NBchPDROVAL G
! DATE IMGF[OTOR•. NAM[
ROUGH PLUMBING
GAB PIPING
GAB VENT
CESSPOOL a 100 CEBBPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) a 10131 1 BEWER
PERMIT 1 OD GAB TEST
UTILITY CO NOTIFIED r �'
TOTAL FEE ,� FINAL