HomeMy Public PortalAbout5214TEMPLE CITY BLVD_Plumbing »es w o-= m APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY L �' w
G
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICTNO GROUP ZONE PERMIT NO
c7
PLUMBER R
O DECEIVED BY READY FOR DATE ISSUED
I G k FIRST INSPECTION /^F—,2
2 a-�
ADDRESS S � I �'D
BUILDING
CITY I TEL NO ADDRESS
COUNTY / X30 LOCALITY
LICHNS! NO EXPI
NEAREST
PERMIT FEES CROSS BY
/pp tt
D U GO
NUMBER "PH OF FIXTURE OR ll[y FEE OWNER L M G
AIL
WATER CLOSET ITOIL¢ M
T) O BO B LJ ADDRESS
' BATHTUB @ O BO CITY TEL NO
SHOWER @ 050 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY WASH BASIN 050 APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN BINK Ono STATE LAWS REGULATING PLUMBING
I CERTIFY THAT i POSSESS THE ABOVE VALID LOS
LAUND RYTUBORTRAY O SO ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIA PROPERTY DESCRIBED ABOVE
OAS BYSTH OUTLETS ® O BO V SIGNATURE OF
WATER HEATER 0 O BO O PERMIIT¢
SLOPSINK 0 O SOI ECTION RECORD
FLOOR BINK O BO
FLOOR DRAIN O EO
DISHWASHER ® O BO
1 1
DRINKING FOUNTAIN 0 O BO
URINAL O BO �J
HOUSESEWER ® 0501
Q
_Z
MISCELLANEOUS O
O
APPROVALS
DATE IN[PRC R[ NAM[
ROUGH PLUMBING
GAB PIPING
GAS VENT
CESSPOOL 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) ® 100 SEWER
PERMIT I 8r rEer
TOTAL FEE
UTILITY CO NOTIFIED
B
FINAL