HomeMy Public PortalAbout5309TEMPLE CITY BLVD_Plumbing Fs7cses n see 0 APPLICATION'FOR PERMIT
DEPARTMENT OF B=ING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICTTfO GROSIB ZONE PERMIT NO
PLUMBER RECEIVED BY READY FORI DATEISSUED
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ADDRESS :�p Z.-O /(.!/�✓ ✓�� f/ Q J r
CITY �3f TEL NO �V �/ ADORMS �' Lam/✓
COUNTY Z(e IIKXPIRES LOCALITY /C_
LICENSE NO
NRAREST
PERMIT FEES CROSS ST
NUMBER TYM or MXTUM OB mm ' PE[ OWNER
MAIL
WATER CLOSET TOILET a O 80 U ADDRESS
BATHTUB 0 O D jr`c CITY EL NO
SHOWER O BO Y
1 HEREBY ACKNOWLEDGE'THAT I HAVE READ THIS
LAVATORY WASH BASIN) 0 O 80Q APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK O 80 la
STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY O 80 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE COUNTY LICENSE OR I AM THE LEGAL OWNER
E 6A88YBTQ OUTLETS ® O 81GNATURB OP
WATER HEATER O 80 PERMITTEQ-
SLOPSINK a O 50 1 INSPECTION RECOBD
FLOOR SINK a O 80 y
GJ •�
FLOOR GRAIN O 6
f V
DISHWASHER a 050
DRINKING FOUNTAIN 0 O SO
URINAL O 80 J
t
HOUSE SEW 6R O SO =
MISCELLANEOUS n
K
O
APPROVALS
DATE INBF[CTOB B MAM[
ROUGH PLUMBING
GAB PIPING
OAS VENT
CESSPOOL 100 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) ® 1 00 SEWER
PERMIT 1 00 GAB TEST 2-
S �0 UTILITY CO }I
TOTAL PEE
FINAL