HomeMy Public PortalAbout5343TEMPLE CITY BLVD_Plumbing (2) 711A6 Mel? 11-M APPLICATION FOR PERMIT
DEPARTMENT OFAND
SAFETY
COUNTY F LOS ANGELES
WILLIAM J. FOX, oHl[r ENGINEER
PLUMBING 1
F PP TO FILL IN -
PLUMBER R READY rOR T[ IBBU
rIRBT INBPEOTION
AOOJIEBIII�a Z —
BUILDING
CITY Oa2 TEL.No ADDRESS
COUNTY LOCALITY
LICENSE O v 7 ,F
w FEES
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PERMIT 8 CROSS GT
HUM1[R TYlM or
^a4x Uplc OR ITEM M[ OWNER
MAIL
WATER CLOSET(TOILET) @ 050 B ADDRESR
BATH TUB @ 0.a0 CITY TEL No
SHOWER @ O SO 1 H9R9GY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ III APPLICATION AND STAT[ THAT THE ABOVC IB CORRECT
AND AOR1E TO COMPLY WITH ALL COUNTY ORPINAMOL 3
KITCHEN BINK @ G.BO AND STAT[ LAWS REGULATING PLUMBING.
1 CERTIrY THAT I POBBWB THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY @ o.ao ANGELES COUNTY LICENS14 OR 1 AM THE LEGAL OWNER
Or THE REBID[ OP DESCRIBED ABOVE-
GAB BYBTE UTLLTB @ O SO SIGNATURE OF /
WATER HEATER @ 050 PERMITTE
SLOP BINK @ OBD INSPECTION RECORD
FLOOR BINK @ O SC
►LOOR DRAIN @ 050
DISHWASHER @ G.ao
DRINKING rOUNTAIN @ 0.60
URINAL @ 0:0 A
t
HOUSE SEWER @ O a0 =
MIBCELLANECUB 9
O
APPROVALS
DAT11 INa R•a HANE
ROUGH PLUMBING
GAB PIPING
GAB VENT
0[SHPDOL @ 1 DC CESSPOOL
SEPTIC TANK- SEPTIC TANK
5 -•, DRAIN ( ) PIT ( ) @ 1 oO SEWER
PERMIT 1.00
i
UTILITY OG.NOTIrIEO
TOTAL FEE S
rINAL