HomeMy Public PortalAbout5614 SULTANA AVE_Plumbing__ DEFAIiTbffiHT OF COUNTY ENanvEEx
PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDI NO
WILLIAM J. FOX, COUNTY ENDINEER ADDRESS p
FOR APPLICANT TO FILL IN LOCALITY 1
BUILOINGNEAREST
ADDRESS CR08S8T
DISTRICT NO GROUP LONE PERMIT NO
LOCALITY S _
CROSSST 04 7 a/,V/Q} r E EIVED BY R for lniPutiae C�DATEISSUED
OWNER C (/ JL4j�� �/ {
MAIL INDUSTR AL
ADDRESS WASTE AM AL
CIT. TEL NO INSPECTION RECO
PLUMBER PLUMB- I N G T
ADDRESS E R V I C E
CITY U"ROR AVE. - TiA0laGABRIEL
LICENCeX 1
❑STATE
J
PERMIT FEES i
V UMRCR TYP[
or FI%TUR[ OR MM FGC
WATER CLOSET(TOILET) a 0 s { ¢
-BATH TUB a 088 ACI C
SHOWER a 080
LAVATORY(WASH BASIN) a 080 O
KITCHEN SINK a 080 86
LAUNDRY TUB OR TRAY a SSB
SLOP SINK ® 080
FLOORSINK a 080
FLOOR DRAIN OR 080
DISHWASHER 0 0 SO
DRINKING FOUNTAIN a 080
URINAL a 080
GASSYSTEM _ _OUTLETS 0 100 / 100
WATER HEATER ! 100
MISCELLANEOUS
APPROVALS
DATE INSptCTOIrS SIGNATURE
UNDER SLAB WORK
PERMIT f 1 00 ROUGH PLUMBING
TOTAL FEE 1 7,OO GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI
GAS VENT
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 AM PROPERLY REGISTERED
AMD/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY BAS TEST 1) �o
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN
ER OF THE ABOVE DFyCRIBED SI N;T!UetP P _ - - UTILITY CO NOTIFIED
SIGNATURE (,,�JLJ//C�//
OF PERMITTEE
FINAL r N
78A017 DBS 17 1/53