HomeMy Public PortalAbout5271 1/2-23-23 1/4-23 1/2-25-25 1/2TEMPLE CITY BLVD_Plumbing 7"p" ''' w m 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 GRO Zp/�lE PERM NO
PLUMBER RECEIVEDB READY FOR GATE ISSUED
FIRST INSPECTI N
ADDRESS
BUILDING
CITY RQEEMFAQ TEL NO ADDRESSCOUq
TY
LICENSE
NO i, EXPIRES 6 3 LOCALITY ` (�
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FI%TUR[ON ITEM PEE OWNER
MAIL
WATER CLOSET (TOILET) @ 050 I6 ADDRESS
BATHTUB a O SO CITY TQL NO
SHOWER 0 O SOI 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY WASH BASIN) 0 O SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
` KITCHEN BINK 0 O SO STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VAUD LOB
LAUNDRY TUB OR TRAY 0 O 80 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
� yy OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
GAS BYBTQM�P_OUTLHT9 GL O SO 0
I SIGNATURE OF
WATER HEATER 0 O SO PERM ITTQ A
SLOPSINK 0 0 301 INSPECTION RECORD
FLOOR SINK 0 0301
7
PLOD 0 /-1
R DRAIN O SO
DISHWASHER O $OI
DRINKING FOUNTAIN O SO /
URINAL O 80 J
HOUSESEWER 080 z
Z
MISCELLANEOUS 0
I °
I
I
I
APPROVALS
DATE INBPER E NAME
ROUGH PLUMBING
GAO PIPING
GAB VENT
CESSPOOL 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN I I PIT I I ® I DOI I SEWER
PERMIT I OO GAB TEST
UTILITY CO NOTIFIED
TOTAL FEE s
� a� FINAL