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HomeMy Public PortalAbout5752TEMPLE CITY BLVD_Plumbing (2) DEPARTMENT OF COUNTY ENGINEER L DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION- COUNTY OF LOS ANGELES BUILDING , ,�,� WILLIAM J. FOX, COUNTY ENGINEER ADDRESS s 0 FOR ]APPLICANT- T'O','FILL I LOCALITYBUILDING _. NEARES ADDRESS f fes vy: fcF/A:+ f &V JCROSS ST. �+ r .. �r..� 10 DISTRMLNO. GROUP PERMIT fPdER.MIT NO. LOCALITY 6 / -4y _ NEAREST CROSS ST. G y' / —.!d.��''�s 1 RECEIVED BY Ready for Inspeetion (DATE ISSUED OWNER p ��� "s Jv �1- . 1f 716 a.1 MAIL �w ` �1 �/� iN6uE WASTAPPROVAL ADDRESS J �� �j '•.-fi1•"i(�i' �'(sfG��/ tl -r-.iEJ'�J' CITY INSPECTION RECORD/� ' f. . -. • ff} TE�L.�NO���y �/ i any // PLUMBER ADDRESS CITY� '��. ,/f_?f!/'I TEL.i � �. ❑STATE .•- LICENSE N0. Q COUNTY u PERMIT FEES z VUMRER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET(TOILET) @ 0.80 5 a BATH TUB 0.80 SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY 0 0.80 SLOP SINK @ 0.80 FLOOR SINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GAS SYSTEM....:-.......OUTLETS @ 1.00 WATER HEATER @ 1.00 f30 .. MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE 'I� �/j[I GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT p�_ CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER /` S-�b�i •o%��r7�J�' .r -rte TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS , REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED- BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE �. � �S f /.' A A OF PERMITTEE.....y*.-..................... ._.. ._.._ , - _......-._. . ` �. FINAL I/7%C/5'', 76A667 DBS 17 1/53 / w