HomeMy Public PortalAbout5737TEMPLE CITY BLVD_Plumbing (2) .R D.B.S.17 2SM SETS 2-47
DEPARTMENT OF. BUILDING AND SAFETY APPLICATIONFOR
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COUNTY OF LOS ANGELES
A Wm.J. FOX.CHIEF ENGINEER PLUMBING
NATURE O INSTA TION DISTRICT N O- GRO P o PERMIT NO
ROUGH FIXTURES COMPLETE / (h
NEATER CESSPOOL -I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
�\ FIRST INSPECTION
lorAS MIBCELLANEOU
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY'
NAME A-1 Cl��3►SPOOT, C p� q�T3 JOB `y
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3558 East Co':orado
LOCALITY
J ena 8, C�ogg���� NEAREST
d CITY TEL,No.- CROSS or.
COUNTY
CERT.No. EXPIRES NAME
LOCATION OF SEPTIC TANS, OR CESSPOOL a MAIL
NORTH O ADDRESS
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OR QUALIFICATION.
PwNEER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
` ABOVE.
3 OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
BATH TUB FURNACE
HOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
*+LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN.' DATE INSPRCTOR'S NAME
WATER HEATER - DENTAL LAVATORY ROUGH PLuMSING I I
METE�G ------SODA FOUNTAIN GAS PIPINGOUTL
I I
GAS veNT f
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CESSPOOL /e nv 4 n�
TOTAL NUMBER OF FIXTURES SEPTIC TANK ✓4�,-,
CESSPOPL_ E' IC TANK D SEWER I /
8 UTILITY CO.NOTIFIED I
q AB -
TOTAL FEE
IN FINAL