HomeMy Public PortalAbout5604 SULTANA AVE_Plumbing__ F
APPLICATION FOR PEW=
DEPARTMENT OF BUILDING AND SAFSTY PLUMING
COUNTY OF L03 ANGELES i
WM J FOX,CHIEF ENGINEER
,;b NATURE OF INSTALIATIONPEFtMIT NO.
ROUGH FIXTURES COM ETE S
NEATER CESSPOOL BETTIC TAMK R[CEIY BY READY FOR DATE RISUm
FIRST INSPECTION
APPLICANT IN HEAVILY UTLINED PORTION ONLY
NAME \ ADDRUG Z310 . %fA1Z4L4dM If All f-
a DADDRESS
a LoewLm 7o.AIR
jVV NEAREST
Cm TEL NO CROSS ST
COUNTY
CERT NO 1"IRES NAME ,V
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3. ADDRESS
NORTH 0
CITY 37' TEL ND ala b
1 AM TXI - POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION
-46 M.YNFa1
R 1 AM THE LEGAL OWNER OF THE PAO DESCRIBED
ABOVE
el/1 P'tl CORRECTIONS
D
DESCRIPTION OF WORK
ATH TUB - FURNACE 13
C
ROWER DISHWASHER O
VATORY REFRIGERATOR
ITCHEN SINK WATER SOFTENER
OOR SINK SANDTRAP
LOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS `
WATER CLOSET DRINKING FOUNTAIN
DAT[ IMN9MOCT011 a NAY[
WATER NEATER DENTAL LAVATORY ROUGH PLUMBING 3� •A-3
r
ETE L ^ N SODA FOUNTAIN OAS PIPING
OUTL
OAS VENT
���a�`� [.
' V CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
[SSPOOI SEPTIC TANK I-U SEWER
UTILITY CO NOTIFIED
N
TOTAL FEE FA
76AS67 (c E-Bin-{/]3
j APPLICATION - R OW RING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO ADDRESS 6LyLQL-
HARVEYT. BRANDT, COUNTY ENGINEER
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAflEST
CROSS ST
NUMBER FIXTURE OR ITEM ® FEE
WATER CLOSET 1 7$ OWNER
MAIL
OATH TUB 1 7$ ADDRESS
SHOWER 1 75 CITY TEL NO
LAVATORY 1 75 CONTRACTO -.
SINK 1 75 ADDRESS
DISHWASHER 1 75 Cl TE v 7J
CLOTHES WASHER 1 75 ST TE / LIC ,Q
LICENSE NO Q (( CLASS(
SWIMMING POOL RECEPTOR 1 75
LAWN SPRINKLER SYSTEM 1 75 r DISTRICT NO GROUP NE ESIJED BY
U�1g.�I LOc$ -3
WATER HEATER 1 75 yjA3TE APPROVAL
GAS SYSTEM OUTLETS 1 75 „ INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM 30 I CD
to
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE S 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR a e]GH•rue[
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel No GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AMD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCE! AND !TATE LAW! REGULATING
PL UMBI NO GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR UTILITY CO NOTIFIED
LI CENTED AS REOUIREO BY LOS AN 0ELES COUNTY AND !TATE OF
CAL(FORMIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENT' L OPERTY FINAL
SIGNATURE
OF PERMITTEA2S-
PERMIT VALIDATION CK M D CASH
PLAN CHECK VALIDATION CK M 0 CASH
207nMAY 29 5 D 4.75A98
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