HomeMy Public PortalAbout5303 WELLAND AVE_Plumbing__ 7dS67 f7 5-80 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING.AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN D1STRiCT.yA. GROUP I ZONE PERMIT NO.
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PLUMBER Belvedere Plumbin CO p RECEIVED BY READY FOR DATE ISSUED
ADDRESS
136 S. Palm Ave. FIRST INSPECTION
CITY Alhambra TEL. NO. AT950255 ADDRESS Welland Ave, .573 /1
COUNTY
LICENSE NO. 808M EXPIRES 6-39-51 LOCALITY Te� .le Cit
NEAREST
PERMIT FEES CROSS ST.
NUMBER I SUPS OF FIXTURE OR:ITEM FEE OWNER J. H. Miller
MAIL
1 WATER CLOSET (TOILET) @ 0.50 $ 50 ADDRESS
1 BATH TUB @ 0.50 0 CITY TEL. NO.
SHOWER @ 0.'50II HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
1 KITCHEN SINK @ 0.50 0 .1 --CERTIFY THAT 1 POSSESS- THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY'DESCRIBED ABOVE.
GAS SYSTEM-L—OUTLETS @ 0.SO
SIGNATURE OF /!
WATER HEATER @ 0.50 n PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50I
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 „J
HOUSE SEWER @ 0.50 z'
MISCELLANEOUS U�
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING --
d
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST L
UTILITY CO. NOTIFIED
TOTAL FEE $ 1. 50 v
�'I� FINAL
405 M