HomeMy Public PortalAbout5629-1/2-5631-5631 1/2TEMPLE CITY BLVD_Plumbing 14
7". D"ll 7-31 4 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING Z
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENDIMLER IJIMIKI E MIT NO.
FOR APPLICANT TO FIL IN C
PLUMBER I R[ IJ SY R[ADV FOR DAT[ ISSUED
FIRST IMSp[OTION
ADDRESS
DITY TEL NO _ 4 ADORESB
COUNTY LOCALITY
NEAREST
PERMIT FEES CROSS BT.
".mm. "m OF IIIIT m 0R ITEM RE OWNER
MAIL
44 WATER OLOBET(TOILET) @ O SD • ADDRESS
BATH TLB ® O BD CITY TEL No
SHOWER O O SO I HERESY ACKNOWLEDOQ THAT 1 HAVE READ THIS
LAVATORY (WARN BASIN) ago APPLICATION AND S►ATL THAT THE ABOVE IB CORRECT
AND ABREE TO DOMPLY WITH ALL OOUNTY DRDINANDEO
KITCHEN BINK O ago AND STATE LAWS REBULATINS PLUMBIMM
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOR
?-41CAUNDRY TUB OR TRAY Q O 60 ANBLLEE COY LIO NSE. OR 1 AM THE LEBAL OWNER
D► TH[ REBI jrDNT�ROPERTY DESCRIBED ABOVE-
DAB SYSTEM UTL[TB O O6O tr-a7 SIDNATUR[ CF
WATER HEATER 050 PERMI
SLOP 81NK O ago INSPECTION RE RD
BOOR OINK O M313 7 �%2 /✓UY FRa �'
�FlO1311 DRAIN • D.SD O _
DIBMVMHER OSD �/ 11 �' U tlLC SLeI G e
DRINKING FOUNMAIM O OSO
URINAL Q O SD
NOUS[ SEWER 41 Ono C8Z
O
14IMELLAN[OUR S u "I1Y.� nY It
/ 2 PseM rr /oc G It ��1
O (oDbO /NMS S.N G.wc /JT
APPROVALS
DAT[ IN.P 11'11 H•M[
ROUGH PLUMSINB
BAS PIPINB
DAS VENT
OEBBPCOL I.00 D[BBPODL
SEPTIC TANKI SEPTIC TANK
DRAIN ( PIT ( m 1 OO SEWER
PERMIT .
1•00 OAS TEST b
V V UTILITY co.NOTIFIED
O
TTAL FEE - i
FINAL