HomeMy Public PortalAbout9522 WENDON ST_Plumbing__ YWWg' !7 $'80 15 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN INC. DISTRIvICCT NO. GROUP ZONE 7PERM(IIT NO.
PLUMBER WINTERBOTTOM BROS., NRE711-N
EDBY READY FOR p Da-ISSUE/7J
A FIRST INSPECTION `�
ADDRESS -1112 WL6FMlN5TF_R AVE. ` &
/ ORNIA BUILDING
CITY TEL. NO. ADDRESS
COUNTYLOCALITY
LICENSE NO. EXPIRES m
PERMIT FEES
cRROSS ST. TEMPLE CITY BLVD®.
NUMBER TYPE OF FIXTURE OR ITEMFEE
OWNER K R LAhQ CO.
MAIL
WATER CLOSET (TOILET) Q 0.50 f ADDRESS 3612 E. LIVE OAK QVEo
BATH TUB Q 0.50 _ O_ITy ARCAD 1 A y CAL I F• TEL. NO.
SHOWER Q O.SO S0 I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS
LAVATORY (WASH BASIN) Q O.SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50STATE LAWS REGULATING PLUMBING.
IZA
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY' Q 0.50 ANGE S CrDA
LI SE. 'OR t M THE LEGAL OWNER
OF OPE SCRIBED OVE.GAS SYSTEM�OUTLETS .. Q 0'.SO SI EWATER HEATER Q 0.50 PERMIT
SLOP SINK Q O.SoINSPECTION RECORD
FLOOR SINK Q 0.50
FLOOR DRAIN Q 0.50
DISHWASHER Q 0.50
DRINKING FOUNTAIN Q 0.50:
URINAL Q 0.50 ' 0 !'V!11, 61 ri
HOUSESEWER Q 0.50 Z
MISCELLANEOUSI• t f7 �.1 f kI ��
r)11011. P1 (� D
a
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS 'PIPING /1
GAS VENT
CESSPOOL Q 1.00 CESSPOOL V
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00 SEWER
PERMIT . 1.00 GAS TEST �' Z.
UTILITY CO. NOTIFIED f.�• `�J `1( �;
TOTAL FEE rJ 00 FINAL �/�Z�S