HomeMy Public PortalAbout5835 ROWLAND AVE_Plumbing__ couNrr of i s nntcELEs APPLICATION FOR PERMIT
Department of CD Engineer
DI�IIISION SION OFFBUILDING & SAFETY
WILLIAM J. FOX. County Engineer
FOR APPLICANT TO FILL IN STRI T O. GROUP ZONE PERMIT
. j s-at
PLUMBERR.E. Sl s den RECEIVED BY READY FOR DATE ISSUED
Itis FIRST INSPECTION
ADDRESS 5042 Rosemead Blvd. " /`���` ��
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CITY Pico TEL Na. OX 97915
ADDRESS 5835 Rowland Ave
LICENSE NO. 8143 Temple vlty
EXPIRES ILme LOCALITY
PERMIT FEES
NEAREST
PERMIT Tunas Dr.
NUMBER TYPE OF FIXTURE OR ITEM FEE p OWNER O .H. Rettis
WATER CLOSET(TOILET) (110.50 111 .80 ADDRESS 2509 S. 4th St.
BATHTUB a 0.50 .00 CITY Arcadia. TEL N..DO 76598
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 .80 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
IF—KITCHEN SINK @ 0.50 .80 AND STATE LAWS REGULATING PLUMBING.
I ID LOS
LAUNDRY TUB OR TRAY @ 0.50 T 0 80 ANGELESTC COUNTY LICENSEE,,OR I AM THE LEGAL EBB THE ABOVE LOWNER
I GAS SYSTEMDUTLETS @ 0.50 I o 00 OF THE RESIDENTIAL PROPERTY ESCRISED ABOVE.
,
I WATER HEATER Q 0.50 I e 00
SIGNATURE
SLOP 91NK @ 0.50 ~
, 9�r"�?„ INSPECTION CORD
FLOOR SINK Q 13.50
FLOOR DRAIN Q 0.50 ' ��d
DISHWASHER @ 13.50
DRINKINB FOUNTAIN Q 0.50
URINAL 0.50 a
HOUSE SEWER a 0.50 Z_
MISCELLANEOUS R
IV
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
t.
GAS PIPING
BAB VENT
CE59POOL (11 1,00 CESSPOOL
SEPTIC TANK, SEPTIC TANK
DRAIN ( ) PIT ( ) 0 1.00 SEWER
PERMIT .
1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE 7 . 00 r
J
FINAL
76A667 DBS#17 6-58