HomeMy Public PortalAbout4520TEMPLE CITY BLVD_Plumbing APPLICATION FOR PMWT
DEPARTMENT OF BUILDING AND SAF
F LOSETY
COUNTY ANGELES
WILLIAM J FO LOS FOX CHIEF ENGINEER PLUMBING I
OR APPLI ANT TO LL N DIBTRIC,P'NO 6 UP ZONE PER NO
S C
FAI- �OREBS
MBER I RECS1V FIRSTREADIY FOR NSPECTION
MUMMER
tr' /-
BUILDING
CITY W TEL NO • ADDRMS
COUNTY ` 44
LICENSE NO r` EXPIRES 'f r
LOCALITY
iNEAREST
PERM F eao9e 9
NYYBtq TY'6 Or Fll(TUR[Ofl IT[M FEEOWNfiR
MAIL
WATER CLOSET (TOILET) a 050 B ADDRW9
BATHTUB O SO CITY TEL NO
SHOWER 4E O SO 1 HfiRQBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY WASH BASIN) O SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCH EN BINK O SO STATE LAWS REGULATING PLUMBING
I CERTIFY THAT 1 POSSESS THE ABOVE V LOB
LAUNDRY TUB OR TRAY Qa O SO ANGELES COUNTY LICE 9E 1 AM THE LEG OWNER
OF THE RESIDENTIAL P ESCRIBfiD
GAB SYSTEM-OUTLETS O SO SIGNATURE OF
WATER HEATER O SO PCRMITTQ
SLOPSINK 0501 INSPECTION REC RD
FLOORBINK O SOI
FLOOR DRAIN O SOI
DISHWASHER O SO
DRINKING FOUNTAIN 050 _
URINAL 0301
..1
HOUSE SEWER a O SO Z
C �
M LLANEO yW
K
.64
-pD O
� I
APPROVALS
DATE INGPECTOR S MAY[
_ I
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 1 OOI CESSPOOL
SEPTIC TANK SEPTIC TANK t
DRAIN ( ) PIT ( ) ® 1 OO SEWER
PERMIT 1 OO GAS TEST
TOTAL FEEI 'ell
UTILITY CO NOTIFIED
!§��
/ � � .�
FI