HomeMy Public PortalAbout5812-5814TEMPLE CITY BLVD_Plumbing JPLUMBING 1
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DEPARTMENT OF COUNTY ENGINEER
VISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING /�J/ //J�
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS „Z
�g6l ANT TO FILL INLocALIrYADDRESS jPEST
' � CRONEASS ST. 4/ •L!.•ez
DISTRICT N0: GROUP ZONE PERMIT NO.
LOCALITY „/ Z e
NEAREST OA
CROSS ST. $ V RECEI ED BY Ready for Inspection q DATE ISSU D
OWNER . �Ct�°R� ! L. �� _ le'An .1 /0 ?!/
MAIL INDUSTRIAL
ADDRESS — WASTE APPROVAL
CITY /E (241-M TEL.N0. �/';�� ,= INSPECTION RECORD
PLUMBER 5/vADDRESS B R® � C-. o // f i%I r I/' �%�/ 1
CITY e_j_&. TEL.NO.4C,
STATE
LICENSE NO. ��- :zNTY J
PERMIT FEES a
z
NUMBER TYPE OF FIXTURE OR ITEM FEE ue
y" WATER CLOSET(TOILET) @ 0.80 $ !3
O
BATH TUB @ 0.80
SHOWER @ 0.80
-LAVATORY(WASH BASIN) @ 0.80 �7
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOORSINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80 +�
GAS SYSTEM.......6OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
D TE INSPECT li'S SIGNATURE
UNDER SLAB WORK --,11710-2' /Nf�!Lt "'
PERMIT $ I 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING t/
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT G /
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER f
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES i
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST �A _ A
AND STATE OF CALIFORNIA OR THAT I AM E LEGAL OWN-
ER OF THE
ABD ED RESIDENTI ROPEgYUTILITY CO.NOTIFIED
SIGNAT
OF � E�RI
PERMFINAL
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