HomeMy Public PortalAbout5837-5839TEMPLE CITY BLVD_Plumbing (2) D.B.S.17 25M SETS 12.44 APPLICATION•FOR. PERMIT
' - DEPARTMENT, OF BUILDING AND SAFETY
:COUNTY OF LOS ANGELES �.`� �� �
'Wm.-J.FOX..CHIER ENGINEER
NATURE .OF INSTALLATION 015TRICT NO. GROUP ZONE PERMIT
/ NO.
ROUGH FIXTURES COMPLETE /Z s y
HEATER CESSPOOL SEPTIC TANK READY FOR DATE 18
RECE VED BY 8
FIRST INSPECTION /
FAD
MISCELLANEOUS %�
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
�/� JOB
Fdri=1• ✓ i:e ta. f!�! ADDRESSLOCALITY�� NEAREST�' {sz'rt TEL.N4. / �9'd,0. CR069 ST.
CERT.NC. EXPIRES '� � MC NAME "'wp1rtl•'�_,-
LOCATION OF SEPTIC.TANK, OR CESSPOOL Z MAIL
NORTH ADDRESS
CITY TEL.NO.
1 AM THE LEGAL PO8SESB0R', OF THE ABOVE LOS
ANGELES-COUNTY CERTCATE OF QUALIFICATION.
PLUMBER
1 AM THE'.. AL OWNER OF.THE PROPERTY DESCRIBED
ABOVE.
OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK
ATH.TUB RNACE O
MOWER DISHWASHER
—LAVA. RY SEFRIdERATOR
–KITCHEN SINK - WATER BOFTENER
—FLOOR SINK SAND TRAP
OP SINK FLOOR DRAIN
WASH TRAY AIRINAL APPROVALS -
WATER CLO86T DRINKING FOUNTAIN
DATE n INSPECTOR'S NAME '
WATER HEATER DENTAL LAVATORY
ROUGH PLUMBING
SODA FOUNTAIN '0 � •'
_ OUTL GAS PIPING
GAS VENT
CESSPOOL
LTOTAL NUMBER OF FIXTURES' C.°J'� SEPTIC TANK
POO SEPTIC TANK SEWER
i ;
I TOTAL FEE' - � -� UTILITY CO.NOTIFIlD
` FINAL