HomeMy Public PortalAbout5625 SULTANA AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
,,DIVISION OF BUELDING AND SAFETY PERMIT APPLICATION
COUNTY OF IAS ANGELES BUILD'No
WILLIAM J. FOX, CouNTY ENGINEER ADDRESS J
FOR A�LICANT TO FILL IN LOCALITY
BUILDING T
CROSS SS
ADDRESS RO888T
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LOCALITY . ` DISTRICT NO GROUP ZONE (PERMIT NO
NEAREST �[ R OA D vJ A-�/ S
CR088 S7 a AlECEIVED BY Reap fw IpepeeOea IOD 1 JSS ED
OWNER J,J ffR RQ/0 1
NAIL INOUSTRIA
ADDRESS WASTE APPROVAL
CITY TEL NO INSPECTION RECORD
PLUMBER \
ADDRESS a II0.
CITY TEL NO
LICENSE NO / ATE
COUNTY
J
PERMIT FEES i
Il'MO[R T c or FI%TIR[ an mm Rc O
I WATER CLOSET(TOILET) a 040 S Forc
BATHTUB a 000 0
SHOWER a 0.00
LAVATORY(WASH BASIN) 0 0 SO H'D
KITCHEN SINK a 0 SO T O
•LAUNDRY TUB OR TRAY a 010
SLOP BINK 0 030
FLOORSINK a 010
FLOOR DRAIN 0 010
DISHWASHER a OEO
DRINKING FOUNTAIN a 000
URINAL 0 000
GASSYSTEM _ -OUTLETS a 180 --loo
WATERNEATER a 100
MISCELLANEOUS
_ APPROVALS
D^ INSPECTOWSSIG ATURE
UNDERSLABWORK / T
PERMIT = I DO ROUGH PLUMBING
TOTAL FEE AI BAS PIPING • �6
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ TX APPLI- BAB VENT
CATION AND STATE THAT THE ABOVE IB CORRECT ',n AGREE HO7 WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED
AMD/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY OAS TEST
AND STATE OF CALIFORNIA OR THAT I AN THE LEGAL OWN.
ER OF THE ABOYE,DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
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f0A007 DRS 17 61