HomeMy Public PortalAbout5638 ROSEMEAD BLVD_Plumbing__ 76A667 OBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
k COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTR a. �P /jNE PERMITj Z�//;�
PLUMBER Belvedere Plumbin Co. RECEMEB (/READYFGR/ DATE ISSUED
So.
FIRST 1 9�¢TJ N
ADDRESS 6 Soo Palm Ave BUILDING ��
p ADDRESS Rosemead
CITY Alhambra
y. 11� TEL.No. `AT a 02
CUNTY
LIRENRE NO. 808 .M EXPIRES 6- 0- 2 LOCALITY Temple Cit
NEAREST
PERMIT FEES CROSS BT.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER J o L Picard
MAIL
1 WATER CLOSET(TOILET) 0.50 8 ADDRESS
BATH TUB ® 0.50 CITY TEL No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
1 LAVATORY (WASH BASIN) 0.50 0 APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAB BY13TEM OUTLETS 0.50
SIGNATURE OF
WATER HEATER 0.50 PERMITTE
SLOP BINK 0.50 INSPECTION RECORD
FLOOR SINK @ 0.513
FLOOR DRAIN @ 0.50 e7v epi�a�
DISHWASHER @ 0.50
DRINKING FOUNTAIN 0.50 4J �c N
URINAL IS 0.50 do'!cQ ..f4%Q(3 to—i 'J
HOUSE SEWER 0.50dS1'� Z
7 �a ���t5-S`� !��AJ p 4� crMl1��°_
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MISCELLANEOUS
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APPROVALS
DA);E INSPECTOR-8 NAME
ROUGH PLUMBING 4&d2ILA4
GAS PIPING A A
r �r
GAS VENT
CESSPOOL @7:00 CESSPOOL 7 ae IJr
SEPTIC TANK: SEPTIC TANK ` J . F
DRAIN ( ) PIT ( ) @ 1.00'a SEWER
PERMIT 1.00 GAS•TEST
UTILITY CO.NOTIFIED L
_7
TOTAL FEE 2 00
FINAL
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