HomeMy Public PortalAbout5027TEMPLE CITY BLVD_Plumbing 76 ° DW 17 11'110 I APPLICATION FOR PERMIT
DEPARTMENT OFAND SAFETY PLUMBING
COIINTY LOS AN ANGELES
WILLIAM J.. FF LOS FOX, aHl[r [No1NceR
F APPLICANT TO FILL IN � rl
PLUMBER A L` l RECEIVED BY READY FOR DAT[ ISSUED
FIRST INSPECTION
ADDRESSBUILDING
ADDRESS SGA
CITY TEL. No / L ' J
COUNTY
NBC
NGEXPIRES _Sa LOCALITY L
NEAREST
PERMIT FEES CROSS ST IG
NUMBER T,T[OF FIKTURE OR ITEM ►[[ OWNER A
MAIL
WATER CLOSET(TOILET) @ O BO S ADDRESS
BATH TUB @ Can CITY TEL NO
ROWER @ Ono 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
R
LAVATOY (WASH BASIN) @ 050 ICATION AND STATIC THAT THE ABOVE 19 CORRECT
AANNDLAGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK @ 050 AND STAT[ LAWS REGULATING PLUMBING.
LAUNDRY TUB O TRAY @ coo ANGECLES COUNTY LIC POSSESS
OAR ITAM HE TH LEO ABOVE VALID
Or THE R[BIDENTI P OP[ D BED L
GAS SYBTE UTL[TS @ G.SO BIONATUR[ O►
WATER HEATER @ O 60 P[RMITT[
GLOP SINK @ q6O INSPECTION RECORD
BOOR BINK @ O SO
FLOOR DRAIN @ O SO
DISHWASHER @ 060
DRINKING FOUNTAIN @ O 60
URINAL @ O 60 J
a
HOUSE SEWER @ 060 Z
O
w1BcuLANcouB �
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APPROVALS
DAT[ ,Ne'E wm NAME
ROUGH PLUMBING
GAB PIPING
OAS VENT
CESSPOOL @ 100 CESSPOOL
SEPT10 TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 DO SEWER
PERMIT 1 OO GAB TEST
UnL"co NOTIFIED
TOTAL FEE >B �
FINAL