HomeMy Public PortalAbout4846TEMPLE CITY BLVD_Plumbing O° I7;9 Em ''4T APPLICATION FOR P=WT
sDEPARTMNT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING
WM J PDX. CHIRP ENGINEER
TAIIATION
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ROUGH FIXTURES COMPLETE / `�"^� 3O
HEATER CESSPOOL l fSPTIC TANK READY FOR R BY FIRST DY FOTION ATQ ISSUED
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APPLICANT FILL IN+BEAVILY UTLINED PORTION ONLY
JOB
NAME 12u/NER_ ADDRESS SY 6 C
f ADDR@SS LOCALITY GEN BM FAA A )f(
NEAREST
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CITY TEL No CROSSQT ^ E A f� ✓ Jt* 0
COUNTY
CERT NO It"IRES C NAME n we/ it/
c /I
LOCATION OF SEPTIC TANS, OR CESSPOOL AMAIL
DDRESS
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CITY &A JP v Ir TEL NO +
I AM THE LEGAL MRSOR OF THE ABOVE LOS
ANGELES COUNTY C IFICATE OF QUALIFICATION
PLUMRm
I AM THE LEGAL OWNER OF THE PROPERTY DOMMISED
ABOVE SWi I
sA
OWNER
CORRECTIONS
/L V, 'Al0.0 Fir (�11/ 7 /n , 41–
v- l' ye F
SOUTH J
DESCRIPTION OF WORK $
�TH TUB FURNACE n
a
ROWER ^ISH WASHER O
LAVATORY ONFRIGERATOR
ITCHEN SINK WATER SOFTENER
^^R SINK ZANDTRAP
SINK F ^^R DRAIN
W WASH TRAY URINAL APPROVALS
WATER CLOSET ^KINKING FOUNTAIN
t' DATE �/ IM/IfCIOR/MAYE
WATER TER - ^EiTAL LAVATORY ROUGH PLUMBING 7` e J
t'TEI�OAS/ SWA FOUNTAIN
OUTL GAG PIPING 1 I
GAS VENT
_ c^ CESSPOOL
TOTAL NUMBER OF FIXTURES 7 V SEPTIC TANK
cQSSPOOu SETICTANK SEWER
TOTAL FEE
S UTILITY CO NOTIFIED
5�
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