HomeMy Public PortalAbout4904 GOLDEN WEST AVE_Plumbing__ 7ekee7 17 5-150 0 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
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COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRIC"O. GROUP ZONE PERMIT NO.
PLUMBER Belvedere Plumbing Co. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 136 S• Palm Ave. 7
CITY Alhambra TEL. NO. AT75025 BUILDING /_49 4'ol. N. Golden West
ADDRESS G
COUNTY
LICENSE NO. 8O$M EXPIRES 6/30/52 LOCALITYremple City
NEAREST
PERMIT FEES CROSS ST. (1
NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER -Richard G, Robertson
MAIL
1 1 WATER CLOSET (TOILET) @ 0.50 1$ 150 ADDRESS
1 1 BATH TUB @ 0.50 I I50 CITY TEL. NO.
1 SHOWER @ 0.501 1 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
1 LAVATORY (WASH BASIN) @ 0.50 I 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
1 I KITCHEN SINK @ 0.50 I 50 STATE LAWS REGULATING PLUMBING.
LAUNDRY TUB OR TRAY @ 0.50 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
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GAS SYSTEM_ OUTLETS @ 0.501 1 �(�� SIGNATURE OF CAa _ _ /1
1 1 WATER HEATER @ 0.501 1- PERMITTEE
1 ser<a5x'r x Bendix @ 0.501 I 0 INSPECTION RECORD
J FLOOR SINK @ 0.501
1 FLOOR DRAIN @ 0.501
DISHWASHER @ 0.501
1 DRINKING FOUNTAIN @ 0.501
1 URINAL @ 0.501
1 HOUSESEWER @ 0.501 1 Z
1 MISCELLANEOUS
1 I 0
i 1 I
1 I I
1 APPROVALS
1 DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
1 C GAS VENT
CESSPOOL @ 1.00 1 _-I CESSPOOL
i SEPTIC TANK: II SEPTIC TANK
1 DRAIN ( ) PIT ( ) a 1.001 SEWER
PERMIT . I 1.00 GAS TEST
UTILITY CO. NOTIFIED I -
TOTAL FEE $
0 FINAL
465 M