HomeMy Public PortalAbout5827-5827 1/2-5729TEMPLE CITY BLVD_Plumbing (2) 76A667 DBB 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR -Al lli (SEZIN - DISTRICT NO. GROUP ZONE
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R PLUMB ON G RECEIVED Y READY FOR DAT •SSUED
FIRST INSPECTION �� ��
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COUNTY r LOCALITY e �•
LICEN NO. 4`� EXPIRES LJ.
NEAREST P
PERMIT FEES cRoss BT.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER 6�
MAIL
WATER CLOSET(TOILET) 0.50 Ill ADDRESS
BATH TUS 0.50 CITY TEL. No.
SHOWER ® 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
rG KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
f CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR IAM E LEGAL OWNER
OF THE RESIDENTIAL ROPE Y ESC IGED BOVE.
GAB SYSTEM ^UTLETS 0.50
SIGNATURE OF
WATER HEATER 0.50
•PERMITTE
SLOP SINK @ D.sD INSPECTION RECORDV
FLOOR SINK @ 0.50 _
FLOOR DRAIN @ 0.50 a�
DISHWASHER @ 0:50
DRINKING FOUNTAIN @ Zep-�-P— 0 A.0
URINAL @ 0.50iC7 +'
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HOUSE SEWER @ O.SO �. r �3' ,p Z
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APPROVALS
DATE INSPEOTOR•B NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 GAS TEST fV0 ��g �►A, �� �'3
UTILITY CO.NOTIFIED
TOTAL FEE >I:
/ FINAL (oyy�c�