HomeMy Public PortalAbout5818-5818 1/2TEMPLE CITY BLVD_Plumbing (2) I 5"" .... ' -, .� 't '--" / APPLICATION FOR•PERMIT
DEPAIYTAVEIVT OF- BU"I fG AND SAFETY.
-`,%-COUNTY OF LOS ANGELES PLUMBIN
~•„'a, `VVM.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRIROUP o - PERMIT NO.
_
ROUGH FIXTURES COMPLETB -EI• D BY READY FOR.�-
HEATER _s CESSPOOL SEPTIC TANK R FIRST INSPECTION �/ TE ISSUED
AS, MISCELLA EOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
NAME ��i��sZ�?`)/3/SC plf_*/%jo/o/�j/" ADDJOB RESS J .30
Slat-
ADDRESS
� F33
■ ADDRESS 'o, * tocwLlTV
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L .!7'/ ,est NEAREST Y f &11M-S
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CITY ,�������/�� �� TEL:NO COUNlryo CROSS ST.
CERT.No. v��r� EXPIRE6 60,50NAME e.
LOCATION OF SEPTIC TANH, OR Cf9SSPOOL z MAID"
ADDRESS
NORTH
CITY TEL.No.
1 AM THE LEGAL PO88ffSS9R OF THE ABOVE LOS
ANGELES COUNTY CERTIFICAT Fv ALIFIC ION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK _z
z
BATH TUB FURNACE C7
- E.•
HOWER DISHWASHER p
VflTORY REFRIGERATOR
-. YITCHEN SINK WATER SOFTENER.
FLOOR SINK SAND TRAP
LOP SINK QLOOR DRAIN ,
WASH TRAY URINAL APPROVALS
.1
WATER CLOSBT DRINKING FOUNTAIN
DA/TE.�/ INSPECTOR'S NAME'.
WATER HEATER - DENTAL LAVATORY ROUGH PLUMBING yd,
'
EAQSODA.FOUNTAIN
OUTL GAS PILING
GAS VENT
/ CESSPOOL I
' TOTAL NUMBER OF FIXTURES SEPTIC TANK I
CESSPOOl SEPTIC TANK - SEWER I I
TOTAL FEE �p UTILITY Co.NOTIFIED
I I
RINAL