HomeMy Public PortalAbout5625 1/2 SULTANA AVE_Plumbing__ DEPARTDD*SVT OF OOIINTY ENOINEE7C PLUMBING I
DMSION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BU' D'
NO C
WILLIAM J FOX, COUNTY ENGINEER ADDRESS 5 V a
FOR AP T TO FILL IN LOCALITY
BUILDING ��1�u CRO BEST
ADDRESS ` 1FT11 CR0688T
DISTRICT NO GROUP 20NE PERMIT,NO
LOCALITY • G
NEARE8T T� /�
NE088
ST 0 VV R ECEIVED BY Riley 7QF IsOF•otloe DA 188U D
OWNER R R �� Q
MAIL 1016USTRIALP
ADDRESS WASTE APPROVAL
CITY TEL NO INSPECTION RECORD
PLUMBER /�
ADDRESS S pr 1.0
CITY &rm It E TEL MOQ
E
LICENSE NO STATCOUNTY
J
PERMIT FEES i
.OMOQR T Pg OF Flx RQ OR MM "a O
WATER CLOSET(TOILET) 0 080 8
O
BATH TUB 0 0 SO
SHOWER 080
I LAVATORY(WASH BASIM) ® 080
KITCHEN BINK 0 080
LAUNDRY TUB OR TRAY 0 080
SLOPSINK @ 080
FLOORSINK @ 080
FLOOR DRAIN 0 080
DISHWASHER 0 080
DRINKING FOUNTAIN 0 am
URINAL 0 080
GASSYSTEM _ _OUTLETS 0 10000
WATER NEATER 0 100 Q
MISCELLANEOUS
APPROVALS
T6 IME►ECTOR'881 NA RE
UNDER BLAB WORK O /
PERMIT { 1 00 ROUGH PLUMBING
TOTAL FEE OAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ TH APPLI- GABVENT
CATION AND STATE THAT THE ABOVE IS CORRECT A D AGREE XOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AMD/OR LICEY8E0 A8 R OUIRED BY LOB ANGELES COUNTY GAB TEST
AND STATE OF CALIFOR IA OR THAT I AM THE LEGAL OWN.
ER OF THE ABOVIDESPIMED RESIDENTIAL PROPERTY UTILITYCO NOTIFIED
SIGNATURE
OF PERMITTEE _
_ __ __ _ _ _—_ FINAL—
78A887 DBS if 1/