HomeMy Public PortalAbout5816 TEMPLE CITY BLVD_Plumbing__ cgg'B��;k- � OL---'o
COUNTY OF LOS ANGELES J �p APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY PLUMBING WILLIAM J. FOX, County EnOlueer
O PPLICANT TO FILL IN D RI D. GROUP Z NE .
ff-L.LJAVIBING CCK-
77—3 3
PLUMBEREAST RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION ��
ADDRESS �EL�, CALIFORNIA
BUILDING Com'
CITY TEL.Noy ��II ADDRESS - a�/yam S
L CENSE NO. EXPIRES /rte c a LOCALITY
NEAREST
PERMIT FEES
NUMBER TYPE OF FIXTURE OR ITEM FEE DWNE ;J�� -�rq.,, .C')�
MAIL
WATER CLOSET(TOILET) ADDRESS EI VX&
BATH TUB @ 0.50 CITY C"• TEL NaMn !S
SHOWER Q 0.50 1 HEREBYaCKNOWLEDGE HAY 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0 O-SO- ,/ � APPLICATION AND STATE TH THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LIC NSE, OR I AM THE EGAL OWNER
GAS SYSTEM. OUTLETS 0 0.50 ®i OF THE RESIDENTI PERTY D SCRI=ASE.
SIGNATURE OF
WATER HEATER 0.50 Q PERMITT
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK 0.50 l� li
FLOOR DRAIN ® 0.50
i
DISHWASHER 0.50
DRINKING FOUNTAIN 0 0.50
URINAL 0 0.50 A
a
HOUSE SEWER Q 0.50 Z
MISCELLANEOUS 19
I]
APPROVALS
PATE IINSPEOTOR'B NAME
ROUGH PLUMBING • J
f j t�CI�•rC'•��'
GAS PIPING
GAS_VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER i+
PERMIT 1.DD GAS TEST
UTILITY CO.NOTIFIED CP
TOTAL FEE S .
FINAL
761667 DBS#17 10/52