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HomeMy Public PortalAbout5833TEMPLE CITY BLVD_Plumbing TGAG67 17 8-49 0 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELESPLUMBING 1 WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TOFILL IN DISTRICT NO. GROUP ZONE PERMIT NO. PLUMBER 1 / ! ,!' ' ` RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS '�/�� /" r^•�p ! - - - ' BUILDING CITY TEL. No., ADDRESS i COUNTY LOCALITY LICENSE NO. EXPIRES NEAREST -� PERMIT FEES CROSS ST. - : .L NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) ® 0.50 s ADDRESS BATH TUB Q 0.50 CITY TEL NO. SHOWER Q 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) W 0.50 r G APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK (o] 0.50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Cts 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM-1' OUTLETS C 0.50 SIGNATURE OF , WATER HEATER ® 0.50 PERMITTE ` t SLOP SINK 0.50 INSPECTION RECORD FLOOR SINK Q O.50 FLOOR DRAIN (a 0.50 DISHWASHER 0.50 DRINKING FOUNTAIN 0.50 URINAL @ 0.50 .J HOUSESEWER • (A 0.50 Q Z MISCELLANEOUS 0 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING , GAB VENT ! CESSPOOL A 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) Q 1.00 SEWER PERMIT . 1,00 GAS TEST TOTAL FEE n UTILITY CO. NOTIFIED / FINAL