HomeMy Public PortalAbout5834 TEMPLE CITY BLVD_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
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WILLIAM J. FOX, County Engineer PLUMBING�
FOR APPLICANT TO FILL IN
DISTRICT NO. GROUP ZONE PER -
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PLUMBER Belvedere Plumbin Co. RECEIVED BY READY FOR DATE 113SUED
(� 1 t. 11 FIRST INSPECTION
ADDRESS 136 So. Palm Ave. C"�7.�I�?�e —'l-0
CITY Alhambra TEL No.
AT 95025 ADDRES BUILDING ' Temple Cit Blvd.
COUNTY 01'1 EXPIRES 6-30-53LOCALITY Temple -Cit
0
LICENSE NO. NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE CF FIXTURE OR ITEM FEE OWNE1i Dr. Young ou
MAIL
WATER CLOSET(TOILET) 0.50 B 5 . ADDRESS
q BATH TUB IS 0.50 CITY TEL. No.
y SHOWER O.BO S0 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) a 0.50 O APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK @ 0.50 .00 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID L139
LAUNDRY TUB OR TRAY 0 0.50 ANGELES CO LICENBE, OR I A THE LEGAL OWNER
OF THE RE N AL PROPERTY RISED ABOVE.
GAS SYSTEM 0 OUTLETS (P 13.5 .50
81BNATUR
WATER HEATER 49 0.50 PERMITI'!
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK QI♦ 0.513 a �r
FLOOR DRAIN @ 0.50
DISHWASHER Q 0.513 s '
DRINKING FOUNTAIN @ 0.50 �� /•
URINAL Q 0.50
HOUSE SEWER @ 0.513 y ?
MISCELLANEOUS 5
0
APPROV S
D E INSPECTOR'S NAME
ROUGH PLUMBING « A1'f✓�"
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL '
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT 1.00 SEWER
PERMIT 1.00 GAB TEST
UTILITY CO.NOTIFIED
TOTAL FEE M 4J/ V
�00 FINAL
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76A66T DBS# 17 6-5E 707 .r