HomeMy Public PortalAbout5835TEMPLE CITY BLVD_Plumbing (2) IDEPARTMLNT OF COUNTY ENGINEER
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING 'y2 T
WILLIAM J. FCX, COUNTY ENGINEER ADDRESS j5- -2,;—
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FOR APPLICA T TO L N NEAREST Z--
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ADDRE83t. ° CROSS ST.
DISTRICT N0. GROUP ZONE PERMIT NO.
929"z 7.
NEAREST
_ �. R IVED BYCRCSS ST. Ready fer Inspection ATE��S �UE
OWNER � /
MAIL 11 0USTRIA
ADDRESS �r WASTE APP OVAL
CITY / TEL.NO. INSPECTION RECORD
PLUMBER ,>, �e/L�o ,S
ADDRESS /° „s �a rR+a S' '�F-E] T'f+ f'ae r�f''.•..� `��
CIT EL.N0.
f 4ff1�� TATE s A r' 0Q. -e
LICENSE NO. r OUNTY
PERMIT FEE
a
NUMBER TYPE OF FIXTURE OR ITEM FEE
r WATER CLOSET(TOILET) df 0.80
BATH TUB @ 0.00
SHOWER @ 0.80
LAVATORY(WASH BASIN) @. 0.80 ` _ '+'^•vim?/ n-,Gen, raex'
KITCHEN SINK @ 0.80 .r
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK 0.80 p� •�G� (�
FLOOR SINK @ 0.802- (,/ > �� f
FLOOR DRAIN @ 0.80 /} i� '-et6/
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM.. _.....OUTLETS @ 1.00
z d-l— ,
WATER HEATER @ 1.00
M ELLA" ' �'� _ -�i,..r+.JE ���l�G:-�F'_•-G-'-�"-�-T-°.�,r L7
APPROVALS
DATE INSPERTOIR S SIGNATURE
UNDER SLAB WORK Co v E'IC� - �+�•r
PERMIT $ 1 00 ROUGH PLUMBING 54 G -----��
TOTAL FEEIRP t)
GAS PIPING `� R
I
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT
CATION R.NO STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED t.
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA THAT I AM THE LEGAL OWN-
ER OF THE ABOVE D CRI D RESIDENTIAL PROPER Y UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE �. !l_.. .. .. _..... .. .. ..
FINAL II ti.Q„��•Q �Is,.�._ J.
70A667
70A667 DBS 17 1/53