HomeMy Public PortalAbout5422TEMPLE CITY BLVD_Plumbing (2) DIEPAATMLNT OF COUNTY ENOINEM PLUMBING 1
DIVISION OF BIIILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING S Z
WILLIAM J. FCX, COUNTY ENDINeeR ADDRESS
FOR APP ICA TO IL NODALITY
BUILDING ''// ST
ADDRESS S T� CROSS CR0888T
DISTRICT yp GROUP PFBYI MO
LOCALITY S ZNEAREST
CROSS ST RECEIVED BY _Rp0y for lBrPMlon DATE 68UED
OWNER /L /�' /3
MAIL IMDUBTfl IAL
ADDRESS WASTE APPROVA
CITY TEL NO INSPECTION RECORD
PLUMBER r"• G A/•
ADDRESS • .�a
CITY TEL ND
Ar
LICENSE NO 0 COUNTY J
PERMIT FEES
z
MUMMA Mm or nwrumm oR mm rEc O
WATER CLOBET(TOILrn 0 Ism $ �
0
BATH TUB 0 000
SHOWER 0 020
LAVATORY(WASH BASIN) 0 080
KITCHEN SINK 0 080
LAUNDRY TUB OR TRAY 0 080
SLOP SINK 0 080
FLOOR SINK 0 080
FLOOR DRAIN 0 080
DISHWASHER 0 080
DRINKING FOUNTAIN 9 080
URINAL 080
GASBYSTEM _OUTLETS I20
WATERNEATER 0 100
MISCELLANEOUS _
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT f 1 00 ROUGH PLUMBING /2
TOTAL FEE OAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI GASVENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
1 HEREBY CE TNAT I AY PROPERLY REGISTERED
AMD/OR LICE D GJ
08 AM ES COU TY OAS TEST
AND STATE ALI IA OR TAT Y LE N
ER OF THE RIBED _UTILITY DO NOTIFIED AM
818 MATUR
I PERYI _
FINAL
ISASOT DRS 17 1153