HomeMy Public PortalAbout5825TEMPLE CITY BLVD_Plumbing I' 13. 17 4-311 PSM APPLICATION FOR PERMIT
`DEPARTMENT OF BUILDING AND SAFETY }�� y��
COUNTY OF LOS ANGELES PLUMBING
WM. J. FOX. CHIEF ENGINEER
NAME OF INSTALLATION DI
3C:T NO. G—R-0-UP I ZONE S NO.
ROUGHPLUMBING I FIXTURES r'COMPLETE
R Y FOR ECEIVEDz_SY DAT ,I.SSU$D
HEATER CESSPOOL SEPTIC TANK FIRS NS *CTION v I(" 6.
GAS MISCELLANEOUS C � "�
'APPLICANT !FILL IN HEAVILY OUTLIN)EgD PORTION ONLY
E Jb/ JOB
P
L, NAMS � ��1p/AI �� .AA ADDRESS
-S
ADDR S. ///0W 1!i�4 I0 U /�����0 LOCALITY
NEAREST
CITY
D �, � L TEo fi/�I/ CROSS ST. �
0 / ,w .-
COUNTY -
REG. NO. �d /�'.� EXPIRES�i1�ll dO L �n NAME �i/�/J f"✓�
LOCATION OF SEPTIC TANK, OR CESSPOOL C MAIL
DDRE88
NORTH
CITYl�. ( /! TEL No.
ICORRECXIONS
AAA e J�
Z
S
O
A
SOUTH
DESCRIPTION OF WORK
--BATH Tus FURNACE
APPROVALS
HOWER DISHWASHER
VATORY REFRIGERATOR DATE INS,1=GTOR'W NAME
KITCHEN SINK WATER SOFTENER ROUGH PLUMBING
FLOORSINK SAND TRAP GAS PIPING
LOP SINK FLOOR DRAIN GAS VENT
WASH TRAYURINAL CESSPOOL
WATER CLOSET DRINKING FOUNTAIN SEPTIC TANK
WATER HEATER DENTAL LAVATORY SEWER
METER--.5-7/ GAS SODA FOUNTAIN UTILITY CO.,NOTIFIED
OUTL
FINAL
I AM THE LEGAL.OWNER OF THE ABOVE LOS ANGELES
COUNTY REGISTRATION NUMBER. _
TOTAL NUMBER OF FIXTURE .- ., ..
SEPTIC TANK T /i PLU/M{•BER C'
CESSPOOL f AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
vtl ABOVE.
TOTAL-FEE I
OWNER