HomeMy Public PortalAbout10017 GREEN ST_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT AP YCATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COLINTY E:NOINEER ADDRESS
BUILDING FOR APPLICANT TO FILL IN LOCALITY
NEAREST � f f•,I A.+..2.�
ADDRESS 10017 Green St • CROSS ST,
DISTRICT NO. GROUP 0 E PERMIT N0.
LOCALITY Temple City Jam' G `o 0
NEAREST
CROSS ST. RECEIVED 61( Ready for Insveetion / DATEISSUED
OWNER J. F. Reese
MAILINDUSTRIAL
ADDRESS P.O. Box 365 WASTE APPROVAL
clTv E1 P.ionte TEL.N0.
_0 INSPECTION RECORD
PLUMBER Belvedere Plumbing Co.
ADDRESS 11900 E. Garvey Blvd .
CITY El Monte TEL.NO. FO 89836 ' r
State Contractor's 54932
License No. Class
L.A.County Contractor's .J
Registration No. Q
Z
PERMIT FEES
NUMBER TYPE OF FIXTURE OR ITEM FEE
O
2 WATER CLOSET(TOILET) Q 0.80 ;1 0
1 BATH TUB @ 0.80 OO
1 SHOWER a 0.80 8o
2 LAVATORY(WASH BASIN) 0 0.80 1 To
--
1 KITCHEN SINK @ 0.80 80
1 LAUNDRY TUB OR TRAY @ 0.80 80
SLOP SINK @ 0.80
FLOOR SINK a 0.80
FLOOR DRAIN @ 0.80
DISHWASHER a 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
1 GAS SYSTEM...-J,--.OUTLETS Q 1.00 1, 00
WATER HEATER a 1.00 1100
MISCELLANEOUS �y} APPROVALS
1 disposal 8o DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT : 1 OD ROUGH PLUMBING y Y rL t Hca
TOTAL FEE 10. 20 GAS PIPING _�?
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT //
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER d' 27,
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES L
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN. '
ER OF THE ABOVE nDESCRIBED RESIDENTIAL PR PERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE-.. --•rte ---•-••- FINAL O c'
76A661 DBS 17 6/54 3