HomeMy Public PortalAbout4367TEMPLE CITY BLVD_Plumbing '"Ap" " p'0O IV APPLICATION FOR PERMFT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICTNO GROUP ZONE PERMITNO
PLUMBER A2 Ayf T14RECEIVED BY READY FOR D=TKf8 UQD/
L FIRST I NSPECTION
ADDRQ88 / /
/' BUILDING
CITY (J TEL NO ) - ADDRESS t
COUNTY 2 ✓I L+� LOCALITY
HN O I /
` HE-ARM
PERMIT �` /L✓ C 914.- /1..
PERT FEES
MYMB[[ TYm*Or rl[Tu[[OR mu FEE OWNER
MAIL
WATER CLOS (TOILET) O SO ADDRESS
BATH TUB O CATY TEL NO
ROWER O SO 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY WASH S IN) O S APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK 0 So STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY O ANGELES COUNTY L CANS OR I AM THE LEGAL HER
OF THE RHSIDENTI PR TV DESC BED ABOVE
GAB VSTEY OUTLETS O SO
810NATU RE OF
WATER HEATER O SO PERMITTE
eLOP eiNK a o eo INSPECTION RE66RD
FLOOR SINK 050
FLOOR DRAIN O SO
DISHWASHER O to
DRINKING FOUNTAIN O SO
URINAL 050 „J
HOUSESEWER a 050
MISCELLANEOUS V
S:
O
APPROVALS
DATE IM[F[CTO[[ MAM[
ROUGH PLUMBING
GAB PIPING
GAS VENT
CESSPOOL @ 1 Do CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT I ) Q 100 SEWER
PERMIT 1 00 GAS TEST
UT14TY CO
TOTAL FEE 0 NOTIFIED
FINAL