HomeMy Public PortalAbout5302TEMPLE CITY BLVD_Plumbing e
D■ > EN IRRE w APPLICATION FOR PERMIT
DEPARTMENT OFING AND SAFETY PLUMBING 1
COUNTY OFF LOSLOS ANGELES
WM .1 PDX. CHIEF ENGINEER
NATURE OVINSTAKEEXIT-10 DISTRICT NO I a PERMIT NO
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FOITURES COMPLETE `' (p9-%3.3
CESSPOOL OE►TIC TANK RECEIVED BY READY FOR DATE ISSUED
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FIRST INSPECTION /-ZG ��t,
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APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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ADDRESS
LOCALITYEAREST TR ND CROSS SI'EXPIRES �' NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
ADDRESS
NORTH O
40
CITY TEL NO
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION
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I AM THE LEGAL OWNER OF THE PROPERY DESCRIBED
ABOVE
DINNER
CORRECTIONS
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SOUTH J
DESCRIPTION OF WORK z_
rATH TUB FURNACE ly
ER DISHWASHER O
TORY REFR10RRATOR
HEN SINK WATER SOFTENER
RSINK SAND TRAP
SINK OOR DRAIN
TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE iws'DCIow R NAM[
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HEATER DENTAL LAVATORY ROUGH PLUMBING
R9R nAn OVTL w^DA FOUNTAIN GAS PIPING
OAS VENTO
CMDOPOL
TOTAL NUMBER'OF FIXTURES O SEDTtC TANK
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O� TIC TANK OEWER
• d UTILITYCO NOTIFIED
TOTAL FEE yi/,