HomeMy Public PortalAbout5424TEMPLE CITY BLVD_Plumbing (2) 1 COUNTY OF LOS ANGELES APPLICATION FOR PERIM
Department of County Engineer
DIVISION OF BUILDING 8E SAFETY
WILLIAM J FOX, County fie01RMr
F A51ALIMANT TO FILL IN .� ���5`a
PLUMBER fVFJ) BY READY FOR DATE ISSUED
PI ROT INSPECTION
ADDRESS
��� BUILDING
CITY TEL, ADDRESS
ILDIN1
OOLIN LOCALITY
CEN NO EXPIq
NEAREST
PERMIT FFM CROBB BT
MYMY[R T rc Or riK RE OR R[M FEE OWNE n
MAILr�
WATER CLOSET(TOILET) O 00 O ADDRESS
BATHTUB ® 050 CITY TEL 06&F11237
SHOWER ® 050 1 HE Y ACK [DOE THAT 1 HAVE READ THIS
LAVATORY (WASH SABIN) Oso APPLICA ON AND TE THAT THE ABOVE IB CORRECT
AND AORE[ TO C Y WITH ALl COUNTY ORDINANCES
KITCHEN BINK t@ 050 AND STATE LAWS REGULATING PLUMBING
0 1 CERTIFY THAT ' f
OSS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY ® 0110 ANGELES COUNTY LI NBC OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIA PERTY D RI ABOVE
OAS SYBTCM_OLRLETB D GIGNATU R[ OF /(/IvJ
WATER NEATER @ Oto P[RMITT[
SLOP BINK D INSPECTION RECORD
FLOOR BINK ® O
FLOOR DRAIN O
DISHWASHER B OBD
DRIMKING FOUNTAIN @ O 30 W
URINAL 050 F
HOUSE SEWER O 050 (]
MISCELLANEOUS J
a
13
0
APPROVALS
DATE INR C`rOR• MAML
ROUGH PLUMBING
BAS PIPING /
DAB VENT t0 J
CESSPOOL • 100 CESSPOOL
SEPTIC TANKS SEPTIC TANK
I DRAIM ( ) PIT ( ) O 1 DO SEWER
PERMITIGD IGAS TEST
• UTILITY CM NOnrlcD /
TOTAL FEE e ZIO
TSA007 DBS*17 10/6E