HomeMy Public PortalAbout5403TEMPLE CITY BLVD_Plumbing ' DE°" ''°' APPLICATION FOR PERb=
DEPARTACENT OFNG AND SAFETY
COUNTY F LOS ANGELES
WILLIAM J. FOX, cNIEI cNmNEcw PLUMBING
a
DISTRICT NO. GROU13 I ZONE PERMIT
FOR APPLICANT TO FILL IN _ � -
PLUMBEp Jaekts
b &.-ftT)lies.IncR[O y[p gY' READY FOR DAT[ ISSUED
ADDRESS 11262 E. Rush St. /IRBT INSPECTION
airy El Monte TEL No Fo-87666 ADDRESS 5403 ft. Temple City Blvd:
COUNTY M 411 KXPIREB 6-30-53 LOCALITY
PEBbFEES cRROSSSS
� ST. Olive'
NIIMSEII TYLE RF FIETIIIR OE ITEM IEE OWNER
MAIL
WATER CLOSET(TOILET) o O SO S Q ADDRESS
BATH TUB @ DSO
CITY TEL Na
SHOWER Q O SO 1 H4RESY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH SARIN) O SO APT THE ABOVE 18 CORRECT
PLICATION
ACIREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK m DSO AND STATE LAWS RKOULATINB PLUMBING
1 C[RTI/Y THAT I POSSESS THE ABOVE VALID LOB
1 LAUNDRY TUB OR TRAY Q 050 ANB[LES COUNTY LIO[NBE, OR 1 AM THE LEGAL OWNER
OAS ereTE UTLETS O SO
or THE RERID[NSI PROPERTY DESCRIBED ABOVE.
1. WATER HEATER ® OSO SIBNATUPISRMR[TTeF J 8 P g S�1PPI.1e9pInC
SLOP SINK • 050 33tSPECTION RECORD
MOOR BINK i D SC
MOOR DRAIN O SO
DISHWASHER O 050
DRINKING IOUNTAIN Q COD
URINAL 0 O.SD Q
HOUR[ HEWER DSD Z
MISCELLANEOUS 0
C
APPROVALS
DAT[ IN 41E NAM[
ROUGH PLUMBING o-L
BAS PIPING
BAS VENT
CESSPOOL m log CESSPOOL
SEPTIC TANKS SEPTIC TANK
DRAIN ( ) PIT ( ) e 1 DO SEWER
PERMIT .
100 GAS TEST
TOTAL FEE S 6 0 m UTILITY CO NOTIFIED
/ FINAL
I