HomeMy Public PortalAbout4912TEMPLE CITY BLVD_Plumbing (2) DEPARTMENT OF COUT= ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
OOUNTY OF LOS ANOELEB BUILDI NB c
v
WILLIAM J. FOX, CouHTENDIHEEN ADDRESS E' G
FOR APPLICNT TO FILL IN LOCALITY
BUILDING` VR
ROSSEABEBT ST
DISTRICT NO GROUP ZONE E YIT NO
LOCALITY -11 75
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NEAREST
CROSS ST RECEIVED BY READ)hr loEFwUon DATY83UEPP
OWNER
INGUTRIA
MAIL
ADDRESS WASTE APP A
CITY TEL NO INSPECTION RECORD
PLUMBER O �� �� ��
ADDRESS J' �3 gov-r,.%,
CITY TEL NO Z
LISTATE
LICENSE NO COUNTY j
PERMIT FEES ' a
z
NUMBER TY'[ GF II%TYq[ an ITEM Fee Q
WATER CLOSET(TOILET) ® 0 ro i
O
BATH TUB 0 BO
/ SHOWER 090 cro
LAVATORY(WASH BASIN) ® 080 2110
KITCHENBINK ® 080
LAUNDRY TUB OR TRAY ® 0 80
SLOP SINK ! 080
FLOOR SINK a 080
FLOOR GRAIN ® 080
DISHWASHER 0 080
DRINKING FOUNTAIN ® 000
URINAL M 000
GASSYSTEM ;2� _OUTLETS ® 100 U
WATERHEATER 100 O
MISCELLANEOUS
APPROVALS
O DATE INSPECTOR 8 SIGNATURE
UNDER SLAB WORK
PERMIT s I DO ROUGH PLUMBING
TOTAL FEE SAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI-
GASVENT
CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE HOT WATERHEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED
AMO/OR LICENSED AS REQUIRED BY LOB ANGELES COUNTY OAS TEST
AND STATE OF CALIFORNIA OR THAT I AN THE LEGAL OWN-
ER OF THE ABBOJOVVE�EE,DESCRIBED RESIDENTIAL PROPERTY
PRROOPEERRTYY UTILITY CO NOTIFIED
OIF PERMRTTENrii� .f.^���¢
FINAL 5
TBANT USE 17 1/88