HomeMy Public PortalAbout5516TEMPLE CITY BLVD_Plumbing DEPARTBU" OF GOUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM L FOX, CDUNT ENa1NEER ADDRESS � �
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LICENSE -K 466 / LICOUNTY A
PERMIT FEES i
.UNDER TYP[ 01 FI%TOR[ OR ITEM IL[ O
WATER CLOSET(TOILET) 0 Oto S
O
BATH TUB 0 080
SHOWER 0 000
LAVATORY(WASH BASIN) 0 0 SO
KITCHEN SINK 0 080
LAUNDRY TUB OR TRAY 0 Oto
SLOP SINK 0 Dec
FLOOR SINK 0 Dec
FLOOR DRAIN 0 Oto
DISHWASHER 0 080
DRINKING FOUNTAIN 0 080
URINAL 0 080
OASSYSTEM _ _OUTLETS 0 100
WATER HEATER 0 100
MI L NEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORM
PERMIT = I 00 ROUGH PLUMBING
TOTAL FEE .7- 66 GASPI►INS
1 HEREBY ACKNOWLEDGE THAT 1 NAVE READ THIS APPLI- OAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATERHEATER
TO COMPLY WITH ALL COUNTY ORDINANCES ANO STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY BAS TEST
AND STATE OF CALI FIT OR THAT 1 AM THE LEGAL OWN-
ER OF THE ABOVE RIBED RESIUMTI PRO ERTV —_ UTILITV CO NOTIFIED
SIGNATURE /y/ jL/fir)
OF PERMITTEE 46w
FINAL /
MANT DBS IT o b 12-53 1