HomeMy Public PortalAbout5531 WELLAND AVE_Plumbing__ f" DEPARTMENT OF COUNTY ENGINEER
PLUMBING 1
' DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES NG a ?? I
• WILLIAM J. FOX, COUNTY ENGINEER
..BUILD'DDRESS
t •'
FOR �QPLICANT TO FILL IN LOCALITY G
BUILDING 3 (,/ E NEAREST 1
ADDRESS W 1 CROSS ST.
DISTRICT N0. OUP ZONE PERMIT NO.
'-
LOCALITY
NEAREST
CROSS ST. � 0' E VED B Ready for Inepeo Ion DATE ISSUED
OWNER j t j,�Ifl C/N�,LS I /? ~A
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL.NO. INSPECTION RECORD
PLUMBER 4E• /• %T 7�A tI A 4 4. f'
ADDREES++S CI ® C Q /7 O IT® V' / f
CITYC'X C7N 7-1= TEL NO�OQv i 7 'rj'j^� 1 i /.O sA !a O 1fL1
?rTATE �e,I�C� ry>o.G1-0 4t /si c: fy Al
LICENSE NO. % 7� s 7. ❑'COUNTY f' `- / ' J
PERMIT FEES z
•IUMSER TYPE OF FIXTURE OR ITEM FEEh L9
WATER CLOSET(TOILET) 0.80 $ d
O
BATH TUB 0.80 0
SHOWER dp 0.80
LAVATORY(WASH BASIN) @ 0.80 e.'
KITCHEN SINK ds 0.80 Z^
LAUNDRY TUB OR TRAY W 0.80
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER
DRINKING FOUNTAIN 0.80
URINAL @ 0.80
r GAS SYSTEM.....I...OUTLETS 01-00 c c.
WATER HEATER 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDERSLASWORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING �>�P Z ����..• f Y s s.��
TOTAL FEE 7 !9O
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI• GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER ��' � Pfr-r•�. =-: /
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS -
REGULATING PLUMBING. PLUMBING FIXTURES
AND/ON1 LICENSED CERTIFY S REQUIRED BY PROPERLY
LOS ANGELES COUNTY GAS TEST
ER OFTATE OF THE ABOVEFORNIA ESCRIBE R IDEN"E�44-4!
MPROPERTY.THE LEGAL UTILITY CO.NOTIFIED �✓ �yr� /i�st,.� �
r
SIGNATURE
OF PERMITTEE- -.. - ...- -.... - -......_. . ------_.... �
FINAL
TOA087 DBS 17 n b 12-53