HomeMy Public PortalAbout5822TEMPLE CITY BLVD_Plumbing (2) 0.8.9.Yi Y6M BETE 9-48 APPLICATION FOR � _
DEPARTMENT OF BUILDING AND BAFETi ICOUNTY OF LOS ANGELES - - ��� �
VVM.J. FOX.CHIEF ENGINEER
NATURE ONG
F INSTALLATION DISTRICT O PURMIT.NO.
ROUGH FIXTURES COMPLETE —� �
ABATER __CESSPOOL I—AGEPTICTANK-1 R EIVED BY READY FOR DATE ISSUED
AS MISC LAN US �• �r� FIRST INSPECTION
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
d. NAME �( _�g_ \�-f �1 ADDRESS / ��
® ADDRESS / LOCALITY. q
(� NEAREST T
96 CITY '(���(An TEL.No. CROSS BT.
COUNTY
CERT.No. EXPIRES C NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
�:
NORTH ADDRESS
CITY TEL.NO.
1. AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CRISTIFICATE OF QQUALIFICCAATION.
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I AM THE LEGAL OWNER OF THE.PROPERTY DESCRIBED
ABOVE.
` OWNER
CORRECTIONS
SOUTH:
J
DESCRIPTION OF WORK i
BATH TUB FURNACE
SHOWER DISHWASHER •G
VATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
WOR SINK - SAND TRAP
LOP SINK m OCR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INsraeTOB•e NAaE.
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I
6TgR OAS SODA FOUNTAIN GAS PIPING I
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK . I
— CMSPOOL SEPTIC TANK CS .SEWER -
S ITOTAL FEE FUTILITY CO.NOTIFIED
_ FINAL