HomeMy Public PortalAbout5852 SULTANA AVE_Plumbing__ 17BA867 17 9-80 le : APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING
FOR PPLIANT TO FSL N
, DISTrNO. GROUP ZONE PERMIT NO.
PLUMBER « RECEIVED BY READY FOR. DATE ISSUED
' FIRST INSPECTION
ADDRESS /4 c _ ' Z f�.p fc,1 —tee .1 s'
DRESS UILDING
�.
- --�i'EL. NO. o• r� t� �.
COUNTY r (� LOCALITY
LICENSE NO.0=J' EXPIRES &�J S� �J
NEAREST �q
PERMIT FEES CROSS ST. _} Q @1 1 Gg
' NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER A,
MAIL._
WATER'.CLOSET (TOILET) @ 0.50 S ADDRESS
BATH TUB @ O.50 CITY TEL. NO.
SHOWER @ 0.50 :. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ' THIS
APPLICATION.AND STATE THAT.THE ABOVE I$ CORRECT AND
LAVATORY (WASH BASIN) 0. 0..50. AGREE TO COMPLY WITH .ALL COUNTY ORDINANCES AND
KITCHEN SINK 0 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 'I POSSESS T M ABP ALID ,,LOS
LAUNDRY TUB OR TRAY 0 0.50 ANGELES_ COUNTY LICENSE. OR I ,FARM THE LE L. OWNER
OF THE RESIDENTIAL. R I'ERTY DESCRIBED AB E
GAS SYSTEM OUTLETS 0 0.50
SIGNATURE OF
��
' WATER HEATER (� 0.50 PERMITTEE• -�r�'-�-'r'fj" G�•�= =��6�-'="'
SLOP SINK. @ 0.50 INSPECTION RECORD
FLOOR SINK'--,-- @ 0.50..
FLOOR D��.L u,� @ 0.50 _
DISF IWAi;HER ® 0.50
9- 1 A
DRINKING FOUNTAIN � 0.50
URINAL @ O.SOI
HOUSE SEWER @ 0.50
MISCELLANEOUS A —72PhY:c rr klOAIrJ -�
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APPROVALS-Rrfl e9 66
5 tr A107'D0 A✓&MTE INSPECTOR'S NAME
ROUGH PLUMBING 0 fI IV IL 1.
GAS PIPING �•^'--"-y `�
GAS.VENT / L�
CESSPOOL Q 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
I DRAIN ( ) PIT 1.00 SEWER'
r
PERMIT . 1.00 GAS TEST
TOTAL FEE
UTILITY CO. NOTIFIED (XU/
$ � � t�
FINAL