HomeMy Public PortalAbout5238TEMPLE CITY BLVD_Plumbing (2) TEAESY OM 1T 11-EO APPLICATION FOR PERMIT
DEPARTMENT OFF LOS NG AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, twat [wmwc[R PLUMBING 1
FOR APPLICANT TO FILL IN DISTRI OY�J� . -
PLUMBER Belvedere Plumbing Co. RECEIVED BY READY FOR OATS ISSUED
ADDRESS 1 6 S. Palm Ave. FIRST INSPECTION
o1TY Alhambra TEL,No AT95025 AND Ica"e° 5238 Temple City Blvd
COUNTYLICENSE P417 M P 6/30/51 LOCALITY Temple Cit Y
NEAREST
PERMIT-FEES-___--- -C=m-T -
HUMM
ER OF rixxuR[oR mm FEE DWw[R Y Duce
MAIL
[T(TOILET) 0 coo O50 ADDRESS
BATHTUB a CBO CITY TEL No
a CBC 1 HEREBY ACKNOWLEDBE THAT 1 HAV[ READ THIS `
ASH BASIN) a 050 APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AURKE TO COMPLY WITH ALL COUNTY K a 050
AND STATE LAWS REGULATING PLUMBING CRDINANOLB
1 CERTrY THAT I POBBEBB.TH[ ABOVE VALID LOS
B OR TRAY a DOD C ANS[L.tB COUNTY LI CENSE. OR 1 AM THE LEGAL OWNER
of THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
BAB SYSTEM OUTLETS a ago
SIGNATURE DF
WATER HEATER .wg
® O BO P[RNITT[r
SLOP BINK e 050 INSPECTION RECORD
FLOOR BINK e O SD
FLOOR DRAIN O So
DISHWASHER ® O BO
DRINKING FOUNTAIN ® 050
URINAL m 050 1 J
a
HOUSE SEWER DBD __
MISCELLAHCOUS O
O
APPROVALS
TC 1MEPEDIOR•E NAME
ROUGH PLUMBINO
GAB PIPING
BAS VENT
CESSPOOL @ 1013 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) 1 013 BEWER
PERMIT 1 DO GAB TEST
UTILITY CO NO7Ir1ED
TOTAL FEE B _/r AV
��— FINAL !/
��
5231Y M