HomeMy Public PortalAbout5334TEMPLE CITY BLVD_Plumbing (2) 1 7"667 17 2d166rs 7- APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAftTY
COUNTY OFLOS ANGELES PLUMBING
Wu J FOX.CHIEr ENGINEER
WITUIM-W INSTALLATION
ROUGH FIXTURES; CONrL[T[ _ /✓
HEATER CESSPOOL Bm+TIC TANK RECEIVED MY READY FOR DATE IESY
1 FIRST INBPKCTHM
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APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
NAME AD RESS
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ADDRESS 917 90 MAGNOLIA LOCALITY
j MONRO IA CALIF PH Mom 21131 NEAREST
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T6 No CROBS or.
LICeNeryK NO - SJ EXPIRES 6—3 Q-
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LOCATION OF SEPTIC TANK, OR CESSPOOL � MAILADDR // �' � .zt. .
NORTH O
CITY TEL NO.
1 AM THE w O r THE OYE LOS
ANGELES COU! CERT UALIri� ION.
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I AM THE LEGAL OWNER OF THE PROPERTY DESCRDIm
ABOVE.
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CORRECTIONS
SOUTH J
DESCRIPTION OF WORK i
ATN TUB FURNACE - a
rc
MOWER DISHWASHER O
YATORY Rl"ISKRATOR
ITCNEN BINK WATT R BOFTENBR
R BINK RAND TRAP
BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE IKRS6TOR•F MALE
WATER HEATER DISMAL LAVATORY may/ PLUMBING /-.�/� Y 9
STER AZ' 'AS SODA FOUNTAIN
GUM OAS PIPING
OAS VZNT
CESSPOOL.
TOTAL NUMBER OF FIXTURES SIPTIC TANK
KOOPO0L_ QEPTICTANK SEWER ,,11
S UTILES CO NOTIFIED
TOTAL FEE 00 y_ I?-IVr��