HomeMy Public PortalAbout5448TEMPLE CITY BLVD_Plumbing (2) DEPARTblENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES y-
WILLIAM J. FOX. COUNTY ENGINEER [ADNESS / 1 CZ�711 L
T TO FI I LOCALITY C,
BUILDING
ADDRESS CROSS ST D"qv WA v
• DISTRICT NO GROUP ZO E (,PERMIT NO
LOCALITY
NEAREST
CROSS ST �RE IVEDBBY flu0i fpr InsperUso DATEISSUED
OWNER • ` ��-'�"
MAIL IMDUBTfl1Al
ADDRESS d4• • WASTE APPROVAL
CITY EL NO INSPECTION RECORD
PLUMBER
ADDRESS {
CITU TEL NO
: 04
LICENSE G 36 d�''7 WSTATE
COUNTY J
PERMIT FEES i
•VMpCq TYK OI rlxT pC OR RCN 2C D
WATER CLOSET(TOILET) @ OMI S a'
O
BATHTUB ® 000
SHOWER M OMI
LAVATORY(WASH BASIN) ® 0 SO
KITCHEN BINK Q 0 SO
LAUNDRY TUB OR TRAY ® OMI rro
1./ SLOP SINK ! 080
FLOORSINK ® 0 S
FLOOR DRAIN ® OSO
DISHWASHER ® SSO
DRINKING FOUNTAIN a 080
URINAL ® ORO
OAS SYSTEM _ _ _OUTLETS ® IAO
WATER HEATER M 100
MISCELLANEOUS
r) APPROVALS
DATE I SPECTqVS SIGNATURE
UNDER SLAB WORK
r
PERMIT f I OO ROUGH PLUMBING '
TOTAL FEE BAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI GAB VENT,
CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE NOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
AND/OR LICENSED IAS REQUIRTHAT ED BY PROPERLY
ANGELES REGISTERED
Y BAS TEST
AND STATE OF CALIF flM1A OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE
SCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
81 NATURE -,
OF PERMITTEE �' L __ _ _ _
FINAL
76AO67 DBE 11 Gib 12-33 v 1