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HomeMy Public PortalAbout5842-5844TEMPLE CITY BLVD_Plumbing D.B.S.-1.7 25M SETS 12-45 1, APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �L� ' � Wm.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUPZONE PERMIT NO ROUGH FIXTURES COMPLETE HEATER CESSPOOL _I.SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION /� . GAS M18CELLANEOU6BE CA AP/nP/LIACCAA�N�T FILL IN HEAVILY OUTLINED PORTION ONLY JOB NAME �. /'(�Jf�(//,-�/1, /(//.�(///.y ADDRESS I/,� Q 1 • 1 LfIF B ' ADDRESS / :3 /,`7�/` t/ LOCALITY /C�If /' NEAREST IL CITYi�r fi1•y t!S,{.f G,r.dF t_. , TEL.No. CROSS ST. G�1.0 ✓ i!/v�'� �,ffJ� r CERTCOUNTY N. ` 7 EXPIRES m I NAME .L' / 'r/VL/✓�t LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL 3 ADDRESS NORTH O CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERT{FICA E OF QUALIFICATION. . [PLuwesR I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED yA ABOVE. (� OWNER CORRECTIONS SOUTH DESCRIPTION OF WORK ,1 ATH TUB FURNACE SHOWER DISHWASHER LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTTER FLOOR SINK SAND TRAP LOP SINK FLOOR DRAIN L-MWrER-----GAS H TRAY URINAL APPROVALS ER CLOSET �RINICING FOUNTAIN DATE INSPECTOR'S NAME ER HEATER DENTAL LAVATORY ROUGH PLUMBING I I SODA FOUNTAINGAS PIPINGOUTLGAS VENT CESSPOOL 3 L NUMBER OF FIXTURES SEPTIC TANK POOL______SEPTIC TANK �� SEWER I 8 UTILITY CO.NOTIFIED I TOTAL FEE FINAL.