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