HomeMy Public PortalAbout5634-5634 1/2 ROSEMEAD BLVD_Plumbing__ DEPABTNIENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING �-/ 3 �1
WILLIAM 3. FOX, COUNTY ENGINEER „ADDRESS (�
FOR APPLI ANT TO FILL IN LOCALITY
BUILDING +� NEAREST
�6b/ � "F CROSS ST.
FT I
ADDRESS
DISTRICT NO. GROUP ZONE PERMIT N0.
LOCALITY ��i�P�-��i �/T�
NEAREST �J
CROSS ST. REC VED,ey Ready for Inspeetlon DATE ISSUEDD
OWNER
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL.NO. INSPECTION RECORD
PLUMBER BAXTER & SON
ADDRESS 2536 N.. San Gabriel T] �n � Lsr--
CITY an a,/ r_T L.NO.� -.
ATE
LICENSE N0. /Q���d /' �COU TY
PERMIT FEES <
z
'JUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ 0.80 S to 13
O
BATH TUB Ot 0.80
SHOWER 0 0.80
LAVATORY(WASH BASIN) @ 0.80 Q
KITCHEN SINK 0 0.80
LAUNDRY TUB OR TRAY 0 0.80
SLOP SINK a 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN 00 0.80
DISHWASHER
DRINKING FOUNTAIN 0.80
URINAL @ 0.80
GAS SYSTEM......._..._OUTLETS Q 1.00
WATER HEATER 6) 1.00
MISCELLANEOUS
APPROVALS
DATE I SPFCTORIS SIGNATURE
UNDERSLAB WORK tit to 5' C
PERMIT $ 1 00 ROUGH PLUMBING J ea --
TOTAL FEE
3 GAS PIPING ►a3 u
1 HEREBY ACKNOWLEDGE THAT 1 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. PLUMBING FIXTURES
1 HEREBY CERTIFY T I M ROP R ISTERED
AND/OR LICENSED O ANGEL COUNTY GAS TEST ► ( `S`b �� _
AND STATE OF IFORN 0 I AM THE GAL OWNS
ER OF THE VE B 1 yROPERTY. UTILITY CO.NOTIFIED
SIGNAT E
OF P MI -..:..._.._........_.. ...._... . .
FINAL rL"-•
70A067 DBS 17 PJ L