HomeMy Public PortalAbout5674-5676 SULTANA AVE_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
ik Department of EngineerPLUMBING
DIVISYON OF BUILDINLDIN G & SAFETY
WILLIAM J. FOX, County Engineer
DISTRICT NO. GROUP ZONE PERMIT NLJ.
FOR APPLICANT TO FILL IN 6— �-• I�3 � Al_)^
PLUMBER �W �A tl EC IVED BY ..G.•READY FOR DATE? ISSUED
11 •� / �` .��y /g FIRST INSPECTION / I
ADDRESS F .7� `!�r 6'�L� (��A ��. re �f' �� S
� �� t BUILDING
�lJ�l Y L Y� TEL NY11 }a Lle� ADDRESS
CITY r t� � d •`+• �G Qy�
COUNTY
LICENSE NO. EXPIRE ° LOCALITY feI
W In P CV V
NEAREST r
PERMIT FEES CROSS ST,.-D
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER
MAIL
WATER CLOSET(TOILET) 0.50 ADDRESS
BATH TUB @ O. O CITY TEL. No.
SHOWER a 0.40 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
2- LAVATORY (WASH BASIN) @ 0.40 APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
_ KITCHEN SINK @ 13.413 0 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O O lA (, ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OIL GAS SYSTEM OUTLETS O 5O A� [`4� OF THE RESIDENTIAL'PR PE/�2TY DESCRIBED ABOVE.
0 SIGNATURE OF M-1
7
L�= WATER HEATER @ 50 PERMPERMITTE xnn-
SLOP SINK 0 .50 INSPECTION RECORD
FLOOR SINK .50
FLOOR DRAIN (0T .SO
DISHWASHER .50
DRINKING FOUNTAIN (BZ .513
URINAL 0.50
HOUSE SEWER @ l0.50 Z
MISCELLANEOUS 17
O
APPROVALS
DATE INSPECTOR'S NAME
1 ROUGH PLUMBING A
GAB PIPING
1 GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) a 1.00 SEWER
-PERMIT . 3.00 GAS TEST
• UTILITY CO.NOTIFIED
TOTAL FEE M / Q / '
FINAL
76A667 DBS#17 6-58