HomeMy Public PortalAbout5409 WELLAND AVE_Plumbing__ 76A667 DBS 17 11-50 APPLICATION'FOR PERMIT -
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NO. P I ZONE PERMIT N13.
FOR APPLICANT TO FILL IN S I'30 71
PLUMBER 6 ® RECEIVED BY READY FOR DATE ISSU
ADDRESS /�
�j� FIRST INSPECTION /2� -�
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// � BUILDING ce
CITY TEL No. ADDRESS
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COUNTY J Lq �r ®m LOCALITY
LICENSE NO. //L� EXPIRES � Q r�� /�//J Q
CROSS T. 4 Pry 7 5 T"A A c�
NKAREST
PERMIT FEES sd�
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER . /���/-i E9
MAIL
WATER CLOSET(TOILET) ✓0 0.50 S 0ADDRESS
BATH TUB 0.50 to CITY TEL Na.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) -111 0.50 APPLICATION AND TATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50Q AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY 1-110 0.50 '5 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
GAS 9YTEM OUTLETS
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0.50 FJ
OF THE RESIDENTIALIP OPERTY DEB RIBED ABOVE..
SIGNATURE or
WATER HEATER @ 0.50 PERMITTEE O r�a�O _ '"��
SLOP BINK 0 0.50 INSPECAON RECORD
FLOOR BINK @ 0.50
FLOOR DRAIN 0 0.50
DISHWASHER 0 0.50
DRINKING FOUP4TAIN Q 0.50
URINAL @ 0.50 J
HOUSE SEWER 0.50 Z
MISCELLANEOUS m
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I 1
APPROVALS
DATE INSPEMOR-S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 7:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 1 SEWER
PERMIT1.00 GAB TET
• UTILITY CO.NOTIFIED
TOTAL FEE
/ FINAL