HomeMy Public PortalAbout5635 1/2 SULTANA AVE_Plumbing__ •
' DEPARTMENT OF OOIINTY ENOINEEIt PLUMBING 1
.DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
OOONTT OF T.oa ANOFT s 33 S�T
BUILDING
WILLIAM J. SOX, COUNTY ENGINEER ADDRESS
PyCAN7E TO FU.LIN LOCALITY
BNEAREST UyA
ADDRESS JZ GC,
14LD�_�d` CHO8S 8T
olery)czYa DeDye PPE r[DMlr NOLOCALITY /
NEAREST
CROSS 8T RE V Ready fn Imseve0 DOE 188 D
OWNER
rAIL INDUST /
ADDRESS WASTE A VAL
CITY TEL NO INSPECTION RECORD
►LureER
ADORE68 r�
CITY TEL NO /+
A
LICENSE NO !9 171,99VIRTY
J
ERMIT FEES <
Z
NUMBER TY'[ OF ru Tull[ GR ITEM F[E Q
WATER CLOSET(TOILM O 0 m 8
O
BATHTUB 0 000
/ SHOWER • 0.80
LAVATORY(WASH BASIN) a ago
/ KITCHEN BINK ® 000
LAUNDRY TUB OR TRAY 0 ago
SLOP SINK a 000
FLOOR SINK 0 000
FLOOR DRAIN 0 000
DISHWASHER a OM
DRINKING FOUNTAIN 0 000
URINAL a 080
GAS SYSTEM _OUTLETS 0 100
I WATER HEATER 0 100
MISCELLANEOUS
o APPROVALS
99TIE/IOPE OR'SSIGN TURF
UNDERSLABWORK l
PERMIT i 1 00 ROUGH PLUMBING a
TOTAL FEE O OAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT
CATION AND STATETHAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOB ANGELES COUNTY GAB TEST �. N
AND STATE OF CALIFORNIA OR THAT I AN THE LEGAL OWN.
ER OF THE ABOVE DESCPABED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED 1` 1
SIGNATURE
i1MA
OF PERMITTEE
IL �
TGA66T DBS If 1/011