HomeMy Public PortalAbout9620 LEMON AVE_Plumbing__ COUNTY OF LOS ANGELES I APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY `U
WILLIAM J. FOX, County Engineer
DISTRICT FOR APPLICANT TO FILL IN �O• GROUP I ONE
PLUMBER Belvedere Plumbing Co. i RECEIVED BY READY FOR DATE ISSUED
/I /ISA FIRST INSPECTION �. ��'
ADDRESS 117p 00 E. Garvey Blvd BUILDING o S l
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CITY El Monte TEL NO.FO-8 $ 6 ADDRESS .9614--"E. Lemon Ave.
COUNTY ° 808M 6/30/53 LOCALITY Temple City
LICENSE NO. EXPIRE �-
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Campbell °
1 MAIL
WATER CLOSET(TOILET) @ O.SO $ o U� ADDRESS
BATH TUB @ 0.50 0 00 CITY TEL. NO.
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 o APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 0 0 AND STATE LAWS REGULATING PLUMBING.
d I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
1 LAUNDRY TUB OR TRAY @ 0.50 000 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTi6J, PROPERTY DESCRI ED ABOVE.
GAS BYSTEM OUTLETS @ 0.50 o OO '
SIGNATURE OF
WATER HEATER @ 0.50
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR BINK @ 0.50
FLOOR DRAIN @ O.SO
DISHWASHER @ O.SO
DRINKING FOUNTAIN @ 0.50 �/✓'�P"�- ��� •" �'-' "`
URINAL @ 0.50
HOUSE SEWER Q 0.50 S iS y 2
M15C ELLANE0U9 'A/� / F�,o Ei
P� 0,6 1t AI JAI'
IS PA-r/Alts= 11570 X11 Ji
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APPROVALS hl ,
° DATE INS E/CTOR'B NAME
ROUGH PLUMBING
'
GAS PIPING
GAS VENT
CESSPOOL @ 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( . ) PIT ( ) @ 1.00 SEWER
PERMIT . . 1.00 GAS TEST E/ at- 9-/ 7 [ �
TOTAL FEE $ UTILITY CO. NOTIFIED
7 0�0'1
I FINAL
76A667 DBS# 17 6-52 ✓ t
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