HomeMy Public PortalAbout6025-6025 1/4 TEMPLE CITY BLVD_Plumbing__ 76A687
1513S-1712.54 APPLICATION FOR PLUMBING, PERMIT
DIVISION OF BUMDING AND SAFETY
Depoat hent of County Engineer
County Of LOS Angeles ;BUILDING 6025 Temple Cit Blvd
WM.J.FOR, COUNTY]ENGINEER ADDRESS N' y
CASSATT D.GRIFFIN,SUPT OF BUILDING _
LOCALITY Temple City
OR APPLICANT TO FILL IN NEAREST
- - CROSS ST.
OWNER . Carl Lott DISTRJCTNO. GR UP- N EEADY F.OR INSPECTION
MAIL 1.. I:
ADDRESS
INDUSTRIAL
•CITY TEL.NO WASTE APPROVAL
PLUMBER Belvedere Plumbing Co.'o 'INSPECTION RECORD
ADDRESS 11900 E.Garvey Ave.
CITY El Monte' TEL.NO.
-FO 89836 i
LICENSE NO. 54932
NUMBER TYPE OF FIXTURE OR ITEM F.EE
WATER CLOSET (TOILET) $ "
3 BATH TUB n f�
SHOWER
3 LAVATORY (WASH BASIN) 1-;-Rh-
Al
KITCHEN SINK:
DISHWASHER fT FFA F�C�� fl/
1 LAUNDRY TUB OR TRAY T0 p e.��T
1 CLOTHES WASHER C... 1"kR-6Z AZA A&
e d
Lf,�'S'�'e�/�P-/�cF';Fs..u�� 'bip9'e•9-7th �.
TOTAL 1y0. @ o.eo 11 20 `� 170-r,
7 —APPROVALS.211D ripo'k -/r AIRi OW
F(L®R DATE INSPECTOR'S
/SIGNATURE
GAS SYSTEM.OUTLETS @ 1.00 3.00 UNDER WORK
WATER HEATER @ 1.00 00 ROUGH PLUMBING. -I�',�-�-I
PERMIT $ t CC GAS PJPING a~�
TOTAL FEE. 1 ..20. GAS VENT //' /� 2 '►/t
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATERSI.S�
AND STATE THAT THE ABOVE IS CORRECT.AND AGREE TO CORPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES ,.
PLUMBING. GAS TEST A���.. /°� ' x! !;
0
1 HEREBY CERTIFY THAT I AN PROPERLY. REGISTERED AND/OR ITS
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY•CO.NOTIFIED
CALIFORNIA OR THAT I AN THE LEGAL'OWNER 0 THE •ABOVE.
DESCRIBED RFSIDENWAAL PROPERTY.
SIGNATURE
OF PERMITTEE FINAL
WILLIAM J.FOX,COUNTY ENGINEER VALIDATION :
25 VR mv, 2 3 1920
m .
BY -
DEPUTY
® zg6 _