HomeMy Public PortalAbout5732-5734TEMPLE CITY BLVD_Plumbing (2) e - DEPARTMENT OF COUNTY ENGINEER PLUMBING
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY EN13INEER ADDRESS
FOR APPLICANT TO FILL IN LOCALITY c" a t
BUILDING! -/ J NEAREST
ADORE 7�q�_,3yoz �� /(.'4h, &lL--I CROSS ST.
�, DISTRICTN. GROUP ZONE _7P/ERMJTN.
LOCALITY laF (�-]]��OO��ff
NEAREST �9
CROSS ST. RECEIVED BY Ready for Inspection ,DA®ISSUE
OWNER &n! —/.r
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MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL.NO. INSPECTION RECORD
PLUMBER W.
ADDRESS 8300 EAST VALLEY BLVD.
CITY ROSEMEAD TEL.NO. AT. 2-2719
25 ❑4TATE
LICENSE N0. VDOUNTY J
PERMIT FEES z
YUMF]ER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ 0.80 $
O
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80 01.
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM.......0---OUTLETS @ 1.00 �t
WATER HEATER @ 1.00 C
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I 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 PLUMBING. PLUMBING FIXTURES
AND/OR
RR LBCENSED IFY THAT AS REQUIRED BYPROPERLY LOS ANGELES GAS TEST.
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
/J
SIGNATURE ._/fJ
OF PERMITTEE. ...... .... fewSas�c ....._............ FINAL
76AG67 DBS 17 1/58 +!