HomeMy Public PortalAbout4805TEMPLE CITY BLVD_Plumbing 'r COUNT' OF LOS ANGELES APPLICATION FOR PERMIT
Department DE County Engineer
%b DIVISION OF BUILDING & SAFETYPLUMBING 1
WILLIAM J FOX, County Endnwr p
FOR APPLICANT TO FILL IN Ic (f(f'-2- !7-/L 1 2
PLUMBS Coring RECEIVED HY READY FTIR
FIRST INSPECTION DAT[ ISSUED
ADDRESS ll-&O E Firestone Blvd - /D --e '-
BUILDING
CITY NQrwalk TEL NO Tor 49717 ADDRESS Temple City Blvd
COUNTY
rMSE No 220 PIE 6-30— _L A A' Temple Cit?
PERMIT FEES
oR ssT Lower Azusa Rd
NUMBLA TYPE OF"I R[ON Il M FEE OWNER Finn Konsmo
LATER CLOSET(TOILET) @ DSO S 1 60 =L",, ll&0 Downey Ave
BATH TUB @ 050 CITY TEL. No
SHOWER @ 050 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
VATORY (WASH BABE N) @ 050 1
601 NDLMA-riom AND NTATC THAT THE ABOVE IS CORRECT
AGREE TO COMPLY WITH ALL COUNTY OROINANCEB
1 ,KITCHEN BINK @ OBC AND STAT[ LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY @ 050 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
1 OAS ereTEMZnu rTe @ O s OF THE R[RIDENTI OP Rry,00 BED ABOVE.
SIGNATURE OF
1 WATER HEATER @ 050 PERMIT
SLOP BINK @ Ono INSPECTION RECORD
FLOOR BINK @ Ow
FLOOR DRAIN @ 050
DISHWASHER @ 1340 L,o,e_ VOL&
1 ORIMKINO FOUNTAIN @ O SO
URINAL @ CBO
a
HOUSE SEWER @ DBD Z
MISEELLANEDUS O
APPROVALS
DAT[ INSPECTOR• NAME
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL` @ 1.0 CESSPOOL
SEPTIC TANK SEPTIC TANK
GRAIN ( ) PIT ( @ 1 OO IS ER
PERMIT t 0 TEST
ELT'DO NOTFIED /
TOTAL FEE 9 11 80
a} ' 1 Lt
76ASE7 DBS#17 a-SE `'t,: •;
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