HomeMy Public PortalAbout5612 SULTANA AVE_Plumbing__ PLUMBING I
DEPA$TDIENT OF COUNTY ENOINEES '
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF L09 ANOEI" BUDNo C
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS S S
FOR APPLICANT TO FILL IN LOCALITY I
BUILDING t� NE
ADDRESS 7 AREST
CROSS ST
DISTRICT NO GROUP ZONE PERMIT NO
LOCALITY
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NEAREST ROSS 8T ,I A.( T u AIA RECEIVED BY Rudy for le[T[etlen OATH IBBU ED
C
OWNER tAA4.4' Fa pooh d 3-
NAIL INDUSTRIA
ADDRESS WASTE APPROVAL
CITY TEL NO INSPECTION RECORD
PLUMBER oe o1gr
ADDRESS L71Vr NI .�/ Iy/r mCi / CP1�4T'
CITU��}�d/{ P, /�EL NO 7�� � •
((( ❑ ATE
LICENSE NO /2O.]'�� �''/a y7 n COU PITY ..1
i PERMIT FEES i
�U MB[H TYPE or rl%TUR[ OR 1T 14
/ WATER CLOSET(TOILET) 0 080 3 %O
!/ BATHTUB 0 080 8� O
SHOWER 0 080
/ LAVATORY(WASH BASIN) 0 080 O
/ KITCHEN SINK 0 080 Sp
LAUNDRY TUB OR TRAY ® 080
SLOP SINK 0 080
FLOORSINK 0 080
FLOOR DRAIN ® 080
DISHWASHER 0 080
DRINKING FOUNTAIN 0 000
URINAL 0 090
BAS SYSTEM _OUTLETS a IAO d O
WATER HEATER @ 1 00 O O
MISCELLANEOUS
APPROVALS
9PATF INSPECTOH'S 8101AT RE
UNDERSLABWORK
PERMIT f 1 00 HOUGH PLUMBING
TOTAL FEE QD GAS PIPING >.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI• GASVENT
CATION AND STATE THAT THE ABOVE IS 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
AND/OR LICENSED AS REQUIRED BY LOB ANGELES COUNTY OAS TEST 1'I
ANO STATE OF CALIFORNIA OR THAT IAM THE LEGAL OWN-
ER OF THE ABOVE DE RIB REB)lp E'NTIAL P RTY UTILITY CO NOTIFIED H
SIGNATURE L I�^ - '
OF PERMITTEE _
FINAL ra q=
78A887 DBS 17 188