HomeMy Public PortalAbout5634 1/2-5634 3/4 ROSEMEAD BLVD_Plumbing__ ~ DEPARTMENT OF COUNTY ENGINEER 43 P
DIVISION OF BUILDING AND SAFETY / PERMIT APPLICA ON
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER „ADDRESS BUILD }
FOR APPLICANT TO FILL IN LOCALITY zl:.
NG ��/ ����� � NEAREST
ADDRESS ((pp CROSS ST.
DISTRICT N0. GROUP y�LONE PERMIT N0.
NEAREST
LOCALITY }/ • j I7o- / �(0(p 6 I
CROSS ST. C�j./� ,�•////�� RECEIV D BY Randy for InspectionDAATE ISSUED
OWNER r//��y.Fl .� /l-I~ a
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL,No- INSPECTION RECORD
PLUMBER BAXTER & SON It 'L c-,
ADDRESS 2536 N. San Gabriel CD r- cl'� 6'" "r- I
CITY ` �la�nf J Gabriel TEL.NAT. 7-5241. U A . L. ac'
LICENSE NO. /y( $ IP �. ❑COUNTY
PERMIT FEES
z
VUMSER4/ TYPE OF FIXTURE OR ITEM FEE
/WATER CLOSET(TOILET) @ 0.80 $
BATHTUB a 0.80 ��ry�� T'$AyzS
SHOWER @ 0.80 0) bowl �a p(a c .I I'll 1��C7 C3&)
'/LAVATORY(WASHBASIN) @ 0.80 LAO nZa� C �IPy1� IIQfI)•.a- s
%KITCHEN SINK da 0.80
LAUNDRY TUB OR TRAY Q 0.80
SLOP SINK @ 0.80 �•
FLOOR SINK @ 0.80 4F-,4-,6A r= o;
FLOOR DRAIN Q 0.80
DISHWASHER da •0.80
DRINKING FOUNTAIN da 0.80
URINAL @ 0.80
GAS SYSTEM..............OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE I,MSPECTOR'SSIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING yq 5y
TOTAL FEE oz) GAS PIPINQ"I.tJ�1 n
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. Ry PLUMBING FIXTURES
1 HEREBY CERTIFY THA IR AM OSP�CNGELES NTY GAS TEST
AND/OR LICENSED ASR
AND STATE OF CgLI1`ORNIA AM THE LE OWN.
ER OF THE AB VE DE D DENTI --P PERTY. UTILITY CO.NOTIFIED
SIGNT ..._.........._......_... ._.............._.._` /
0 PERM(THE ........_......_......_.._.
FINAL U 1t
TOA067 DBS 17 ril6 12-53