HomeMy Public PortalAbout5614 WELLAND AVE_Plumbing__ 76A667 013917 1-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
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FOR APPLICANT TO FILL IN D / R UP O
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PLUMBER � ) NE
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FIRST INSPECTION u
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CITY }1• ADDRESS ,♦ r°.
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COUNTY 1 v / T
LJCIKNBE NO. .f EXPIRES LOCALITY L•'l •� t�/� w
NEAREST
PERMIT FEES -CRUMB ST.
NUMBER TYPE OF FIXOWNERTURE OR ITEM FEE -7N
.7
WATER CLOSET(TOILET) 0 0.60 SADDRES8
BATH TUB 0 0.1313 CITY a TEL No.
SHOWER @ 0.613 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0 0.50 APPLIC;%TION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REMULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY @ 0.50 ANGELES BOUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESC 1B D ABOV .
BAB SYSTEM- OUTLETS @ 0.50 SIGNATURE OF
WATER HEATER @ 0.50 PERMITTE —+
SLOP BINK @ O.BO INgPECTION RECORD
FLOOR BINK 0 0.50
FLOOR DRAIN @ 13.313
DISHWASHER @ 0.150
DRINKING FOUIcTAIN @ 0.50
URINAL @ 0.50 Q
HOUSE SEWER @ 13.513 (�
MISCELLANEOUS J
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0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAB PIPING
GAB VENT
CESSPOOL @ 1,00 D CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 BAB TEST
TOTAL-FEE
UTILITY CO.NOTIFIED
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Q V FINAL