HomeMy Public PortalAbout5208TEMPLE CITY BLVD_Plumbing sa,lE.T n wa 0 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NQ GROUP ZONE PERMIT NO
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FONTANA PLUMBING O TOp RECEIVEFIRST ID R'EANSPECT OYFOR/7 ION DATE ISSUED?-PLUMBER ED
344 . Garvey - Monterey Park, 1_a t
ADDRESS
BUILDING CI
CITY TEL NO ADDRESS /
COUNTY _ _ -- !� LOCALITY
LICENSE NO
NEAREST
PERMIT FEES CROSS BT
NUNDAR T M OF FI%TUR[OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) O60 ADDRESS
BATHTUB O EO CITY TEL NO
SHOWER 0 O SO 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY WASH BASIN) 0 O SOAPPLICATION AND STATE THAT THE ABOVE IB CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK O BO STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUBO TRAY O EO ANGELES COUNTY LICENSE OR 1DEAM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY SCRIBED ABOVE
GAS SYBT OUTLETS W O EO SIGNATURE OF
WATER HEATER O SO PERMITT6
SLOPSINK G Eo INSPECTION RECORD
FLOOR SINK O EO
FLOOR DRAIN O 60
DISHWASHER O EO
DRINKING FOUNTAIN 0 O EOI
URINAL a O SO ,J
Q
HOUSESEWER @ O SO Z
MISCELLANEOUS
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O
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I
APPROVALS
D TE IN cTOR E "Ns
ROUGH PLUMBING 1
i
GAS PIPING
GAB VENTAV, /
e '
CCSSPOOL 0 I Do CESSPOOL
SEPTIC TANK I SEPTIC TANK
DRAIN I I PIT ( ) ® 1 00 SEWER
PERMIT 1 00 GAS TEST
UTILITY CO NOTIFIED -
TOTAL FEE I B
O FINAL