HomeMy Public PortalAbout5422TEMPLE CITY BLVD_Plumbing DEPA VrN00 T OF COUNW ENGDYE= I PLUMBING 3—p 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNW OF LOS ANGELES TrI BUILDING I
WILLIAM J FOX, COUNTY ENGINEER RE
FOR APPLIC NT O FILL IN LOCALITY
BUILDING _ CROSSNEARST
ADDRESS .Z CROSS ST III111���
DISTRIr GROUP ZONE PER�1
LOCALITY
NEAREST
CROSS ST RECEIVED BY Ready for lospwBoe 9 DATEISSUED
d, % J
OWNER S
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
u7v EL to I INSPECTION RECORD
PLUMBER Z 9 S~
ADDRESS J� - - _ _ SA
CITY TEL NO
6T Q
LICENSE NO
PERMIT FEES a
z
NUMBER MK Of rlM RE 04 ITEM ME Q
WATER CLOSET(TOILET) 0 020 rz
O
BATHTUB 0 080
SHOWER 0 020
LAVATORY(WASH BASIN) 0 090
KITCHEN SINK a 080
LAUNDRY TUB OR TRAY ® 0 a0
SLOP BINK ® 080
FLOORSINK 0 080
FLOOR DRAIN 0 080
DISHWABXER 0 080
DRINKING FOUNTAIN 0 020
URINAL 0 080
GASSYSTEM .h _OUTLETS 0 100
WATER HEATER 0 100
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
�+ UNDERSLABWORK
PERMIT f 1 00 ROUGH PLUMBING
TOTAL FEE GASPIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI• GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUM G PLUMBING FIXTURES
I HEREBY IFY T 1 AN PROPERLY REGISTERED
ANO/OR L10 86D A8 EGUI BY 08 A LES COUNTY BAB TEST
AND STATE F C I IA THA I M LE L H-
ER OF TH ABO fll 16 UTILITYCO NOTIFIED
SIGNATUR
OF PERYI
FINAL
78A887 DBS 11 1/53