HomeMy Public PortalAbout4819TEMPLE CITY BLVD_Plumbing (2) DEPABThiENT OF COUNTY ENGINEER
PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. SOX. COUNTY ENGINecR 'ADDRESS
FO PLI ANT T F LOCALITY
BUILDING NEAREST /7
ADDRESS CR0588T
DISTRICT NO GflOUP 261E PEHY T NO
LOCALITY .5' I C_ .Z
NEAREST G
CROSS BT p [fV[0 BY Ready for IptprBaA DATE ISSUED
OWNER �'
MAIL BIND 8 IAL
MAIL
fZZ WASTE APPR V
ADDr No . - INSPECTION RECORD
PLUMBE , S J00 CMMM WA,-Cr
ADDRESS • \ -
CITY TEL N
TATE
LICENSE 15;70AP2 rl COUNTY J
PERMIT FEES <
z
aUNOLR T r[ OF FI%TUC[ OR ITCH r[[
WATER CLOSET(TOILET 0 ON i
BATHTUB 0 080
SHOWER 0 DO0
LAVATORY(WASH BASIN) 0 0 t0
KITCHEN BINK 0 0 so
LAUNDRY TUB OR TRAY 0 080
SLOP SINK 0 OW
FLOOR SINK 0 080
FLOOR DRAIN 0 OCO
DISHWASHER 0 Oto
DRINKING FOUNTAIN 0 000
URINAL 080
GAS SYSTEMOUTLETS 0 100
WATER
HEATER^ 0 100
MISCELLANEOUS r'
APPROVALS
DATE INSPECTOWS SIGNATURE
UNDER SLAB WORK Il
PERMIT $ 1 00 ROUGH PLUMBING b,
TOTAL FEE Q GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- OABVENT
CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES �' W
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AHD/OR LICENSED AS REQUIRED BY L0S ANGELES COUNTY LASTEST
AND STATE OF CALIFO N R THAT I AN THE LEGAL OWN-
ER OF THE ABOVE D BED REST NTIA POOP TY UTILITY DO NOTIFIED
SIGNATURE _ /�,t/ � -1
OF PERMITTE C��L.. _ _ _ _ _
FINAL
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