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