HomeMy Public PortalAbout5780TEMPLE CITY BLVD_Plumbing ba ii >=sB- ZSM
DEPARTMENT OF,BUILDING AND SAFETY AF1'LICA�'ION FOR PERh4V
COUNTY OF LOS ANGELES ''" PLUMBING
NATURE OF INSTALLA'T'ION DISTRICT-NO. GROUP NO. PERMIT No.
ROUGH
PLUMBING- !'. RiXTUREB OhIPLETE-. 0: _
IREADY FOR RECEIVED BY DATE ISSUED
NEATER. j CESSPOOL EPTICTANII. FIRST INSPECTION
GAS I MISCELLANEOUS � -
APPLICANT FILL IN HEAVILY OUTLINED PORTIZON_ONLY /
JOB.
NAME �J : d ADDRESSi
® ADDRESS G�.� / A/ � (. � . �'!��� LOCALITY v .
p NEAREST_
CITY �"��,. _ !�'� 0 TEL:.NO.:. CROSS ST. E .. �� 4 AV i
STATE -cou1VTY
LICENSE NO, REG. NO.: ld .I NAME pC- t'�.,�
LOCATION OF SEPTIC-TANH,OR CESSPOOLz MAIL ,
O' ADDRESS
NORTH
CITY 7 TEL NO.
CORRECTIONS
VAyy4 1A
Z.
SOUTH I -
DESCRIPTION OF WORK .
-BATH TUB FURNACfi
APPR�Vt>,s7.
_—SHOWER - _—_DISHWASHER
DATE INSPECTOR'O.NAME
LAVATORY REFRIGERATOR
...ROUGH PLUMBING
KITCHIEN SINK --WATER SOFTENER'
GAS PIPING
eLOOR SINK �SAND•TRAP - f
�.
IdAdVEkT 1!
SLOP SINK _ --.__=FLOOR DRAIN - - �--
'.CE98POOL
WASH TRAYURINAL
SEPTIC'TANK
WATER CLOSET DRINKING FOUNTAIN.
SEWER
WATER HEAT:ER,, DENTAL_LAVATORY
UTILITY CO. NOTIFIED
METER GAS �_SODA FOUNTAIN
OUTLFINAL
_ - - - I .
-- - 1_AM THE LEGAL OWNER OF THE ABOVE LOS4ANGELES.
COUNTY REGISTRATION NUMBER.
TOTAL NUMBER OF FIXTURES I _
PLUMBER
SEPTIC TANK - = 1 AM THE LEGAL OWNER O.F THE PROPERTY DESCRIBED
_CESSPOOL . ABOVE.
TOTAL FEE O-'� OWNER -