HomeMy Public PortalAbout4522TEMPLE CITY BLVD_Plumbing Text" n i-zs m 1 APPLICATION FOR PERMT!
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX CHIEF ENGINEER
FOR APP CANT TO FI L IN DISTRI GRO P zONE PERMITNO
PLUMBER J Ao RECEIV READY FOR DATKISSUEly
FI TINSPECTION
ADDRESS
_ BUILDING
CITY
TEL O ADDRESS
COUNTY LOCALITY
LICENBC NO EKPIR
NEAREST
PERMIT CROSS BT
NUMB¢x TVP[OF FI.TU"OR IMM PEE OWNER
[MAIL
WATER CLOSET (TOILET) a O SO 0 ADDRESS
BATHTUB 080 CITY TEL NO
SHOWER O 80 1 H61 BY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY WASH BASIN) O 80 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK a O 80 STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ASOVZAALIO LOS
LAUNDRY TUB OR TRAYO SO ANGELES COUNTY LIC SE OR 1 AM THE L OWNER
OF THE RESIDENTIAL P P PESO VE
GAS SYSTEM_OUTLEfS A O 6 SIGNATURE OF /
WATER HEATER 0 O SO PHRMITTH
SLOPSINK o Eo INSPECTION RECORD
FLOORSINK O S
FLOOR DRAIN GD O SO
DISHWASHER O 8o
DRINKING FOUNTAIN g O SO I
URINAL 0 O BO I ,J
HOUBESEWER O 80 Z
MISCE HEPPE 5
R
0
IV
I
APPROVALS
DATE INGM[ R• NAME
ROUGH PLUMBING
GAB PIPING
GAS VCNT �—
CESSPOOL ® 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK Rn
DRAIN I I PIT I ) ® 100 SEWER
PERMIT 1 DO GAB TEST
UTILITY CO NOTIFIED
TOTAL FEE i D
V FINAL