HomeMy Public PortalAbout5441TEMPLE CITY BLVD_Plumbing COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
pIVIS�N OF BUILDING & SAFETY
WILLIAM J FOX. County Eo[IRMr PLUMBING I
FOR APPLICANT TO FILL IN IS-31, 1 .1
PLUMBER READY FOR R LD BY DATE IeSU[D
FIR RE INSPECTION
ADDRESS 4-�
BUILDI �
olrr TEL.No ADDRESSNG 4 44
COLING D E%PIR LOCALITYwor- ,
NEAREST
PERMIT FEES CROSS ST
NUM[[II TYPE OF FIM R[OR ITEM FEE DWRER
MAIL
WATER CLOSET(TOILET) Q 050 a ADDRESS
RATH TUB Q 0 BO CITY TEL NO
SHOWER O Ono 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) ® ago APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK Q O SO AND STATE LAWS REGULATING PLUMBING.
1 LateCERTIFY THAT I POSSESS THE ABOVE VALID Le
LAUNDRY TUB OR TRAY Q 050 ANGELES COUNTY LICENBF- OR 1 AM THE LEGAL OWNER
OF THE R[RIDEN IAL PROPHRTY DEBC BED ABOVE.
GAS RYBTEM_OUTL[TB ® CSO �U
SIGNATURE OF
WATER HEATER Q 050 P[RMITi[
B LOP SINK ® 050 INSPECTION RECORD
FLGOR BINK Q 050 )c
FLOOR DRAIN ® O 5O ` " b
DISHWASHER ® 050
/
DRINKING FOUNTAIN B 050
URINAL Q 050 \� Q
HOUSE BEWER Q 050 Z
MISCELLANEOUS �\
APPROVALS
DATE INSPECTOR R HAM[
ROUGH PLUMBING
GAS PIPING
0A0 VENT
CESSPOOL 8 100 CESSPOOL
BCPTID TANK BEPTIC TANK
DRAIN ( ) PIT ( ) Q Ica SEWER
PERMIT 1013
GAB TEST
'\ UTILITY CO NOTIFIED
TOTAL FEE ® V
FINAL //-✓ yL..a-wr
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