HomeMy Public PortalAbout5335TEMPLE CITY BLVD_Plumbing COUNTY OF LDS ANGELES APPLICATION FOR PERMIT
DSFY of County Engineer PLUMBING
DIVISIONION OOF BUILDING SAFETY
WILLIAM J FO%, Couory EBgialeeer
FOR APPLICANT TO FILL IN GROUPDISTRICT NO. 3NE PERMIT IMI-7-
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PLUMBER RE IVCD BY READY FOR I DATE IBBUCD
FIRST INSPECTION �� - 5
ADDRESS
BUILDING r 1
CITY TEL No ADDRESS J
COUNTY LOCALITY
LICENSE NO EXPIRE
NEAREST
PERMIT FEES tapas sT
NUMBER TYp[OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TCILET) ® -P V7T,4,11ADDRESS
BATHTUB a 40 O CITY TEL No
eH WER ® O 0 1 HEREBY A KNOWLEDGE THAT I HAVE READ TIHIS
I16V LAVATORY (WASH BASIN) p 60 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREETO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK ® O AND STATE LAWS REGULATING PLUMBING
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
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LAUNDRY TUB OR TRAY 48 O O Q ANGCLEB COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
GAB BYBTEMOUTLETS O O
OF THE RESIDENTIA PROPERTY DE ED ABOVE
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SIGNATURE DIF
EE
2DISYHWAGHER
TER HEATER @ O PERMITTEE
® D INSPECTION RECORD
0154
® O
® O O
AIN ® D
® so 0 60 Z
MISCELLANEOUS
APPROVALS
DATE INBPEOTOR-B NAME
ROUGH PLUMBING
DAB PIPING
GAS VENT
ag"
BEPTIO TANK K
DRAIN ( )
PIT ( ) a J Go
PERMIT NOTIFIED
TOTAL FEE e
TOA667 DBS#1T a-ss �, O 0