HomeMy Public PortalAbout6012 1/2 TEMPLE CITY BLVD_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING r
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WILLIAM J. FOX. COUNTY ENGINEER FADDRESS
FOR APP ICANT TO FILL IN LOCALITY
BUILDING // -Y'C NEAREST
ADDRESS (QQ 1 G ��„ it ( � !, (.yD CROSS ST. �r1
�+ DIST131CT NO. GROUP ZONE PERMIT NO.
LOCALITY `� Pj
NEAREST V
CROSS ST. REC IVED.BY Ready for Inspection D EIS ED
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OWNER _
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL.N0.
INSPECTION RECORD
PLUMBER C
ADDRESS416 /-
CITY TEL. 0. 7"2, O
TE
LICENSE NO. COUNTY
NTY
J
PERMIT FEES Q
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NUMBER TYPE OF FIXTURE OR ITEM FEE Ur
WATER CLOSET(TOILET) @ 0.80 $
RATH TUB @ 0.80 O
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0 80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80 --
FLOOR SINK @ 080
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM..............OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE z -AT GAS PIPING
IHEREBY ACKNOWLEDGE THAT I 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- -
ER OF THE ABO �DCR SIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATUROF PERMITTEE..... `----...-.-.._..�• •-•..----......E....-.............
FINAL
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