HomeMy Public PortalAbout5820-5820 1/2TEMPLE CITY BLVD_Plumbing o.B.S.17.$SN SETS 12.44 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY = -
%t COUNTY OF LOS ANGELES PLUMBING
WM.J. FOX.CHIEF ENGINEER
'! NATURE OF INSTALLATIO . DISTRICT No: GROUP .ZONE PERMIT NO. ' F
ROUGH a FIXTURES COMPLETEu--
HEATER CESSPOOL —I SEPTIC TANK RECEIVBD BY READY FOR .DATE IBBU6D-
- FIRST INSPECTION
GAS MISCELLANEOUS �[lof !t/•
=
-APPLICANT FILL IN -HEADY OUTLINED PORTION. ONLY
.loe
d,
NAME r1.sEa�kAttm0l11mblro- ADDRESS •-S% et -
. W _ . . .• X11 - -p .
X ADDRESS �72�-T::: -�ItYr-StY�A®t= = LOCALITY i®BL 1® C�t . _.._
B - _
j• NEAREST ;
L CITY EL.No — CROSS BT.
EXPIRES
. . . . . . NAM B ON
LOCATION OF SEPTIC TANS, OR CESSPOOL Z MAIL-
NORTH ADDRESS
i - CITY TEL.No.
1 AM THE.LEGAL'POSSESSOR OF THE ADOVZ LOS
i ANGELES COUNTY CERTIFIC' TE F qU ICATI N
rLumant
1 AW THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE_: '
3: - ` r OWNER
CORRECTIONS -
SOUTH
DESCRIPTION,OF WORK
- ATH-TUB'-- - - FURNACES
— SHOWER n.ISHWASHER :• " . _ O
VATORY REFRIGERATOR `
rITCHEN SINK WATER SOFTENER
_YLOOR SINK SAND TRAP
LOP SINK eLOOR DRAIN-
WASH TRAY •• URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATAAll
ER HEATER DENTAL L AVATORY ROUGH-PLUMBING l� •�.�
ETER P+Ad SODA FOUNTAIN"
OUTL' GAS PIPING
GAS VENT
CESSPOOL
TOTAL NUMER ES OF FIXTUR • ® O SEPTIC TANK
B
ESSPOO� �EPTICTANK dGWER•
d °uv UTILITY CO.NOTIFIED
TOTAL FEE
FINAL