HomeMy Public PortalAbout5141 SULTANA AVE_Plumbing__ �• COUNTY OF LOB ANBELE5 APPLICATION FOR PERIV=
Department of County Engineer
DIVISION OF BUILDING & SAFETY B G
WILLIAM ! FOX, GuntY Eeolow PLUM1
FOR APPLICANT TO FILL IN DIEFTRLCT NEI. 'r I ^ v
PLUMBER OEI BY READY FOR Q DATE ISSUED
FIRST INSPEDTION
ADDRESS Z,7
BUIL0INO
CITY TEL No ADDRESS
COUNTY LOCALITY
LICENSE NO [XPIR[
NEAREST
PERbm FEES CROSS
NIIMYER TYFE of FIKTU"OR ITEM FEE OWNER
MAIL ,/
WATER CLOSET(TOILET) ® O 50 B ADDRESS
BATH TUR ® O BOCITY TEL ND G. L
SHOWER O SO 1 HEREBY ACKNOWL OE THAT 1 HAVE READ' THIS
LAVATORY (WASH BAB IN) 8 0.B0 APPLICATION ANO BTA E THAT THC ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK ® O SOAND STATE LAWS REGULATING PLUMBING
AZ 1 CERTIFY THAT I P SEGS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY ( � O tZ ANGELES COUNT 1 OR 1 AM THE LEGAL OWNER
OAS SYSTEM�OUTLETS I O 6 O OF THE
RESIDE PERTY L�E9CRIBED ASOVL
/ SIGNATURE OF
WATER HEATER @ O B PERMITTE
GLOP SINK a o BD' ,- I INSPECTION RECORD
FLOOR BINK a O SO
FLOOR DRAIN a 050 1//23 7'S B OG Kdr G7
DIBHWASHER ® O BO O C P>✓ ON
DRINKING FOUNTAIN a 050
URINAL ® 050 J
a
HOUSE SEWER ® O 60 __
MISCELLANEOUS
0
I
APPROVALS
DATE Im"ECT25A NAME
I ROUGH PLUMBING
\ GAB PIPING Ly
GAB VENT
CESSPOOL 1 OO CESSPOOL
SEPTIC TANKI 1 SEPTIC TANK
DRAIN ( ) PIT ( ) loolool I ISEWER
PERMIT
�\ UTILITY Cm NOTIFIED 2%
TOTAL FEE B 2 3 9
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