HomeMy Public PortalAbout5842-5844 TEMPLE 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
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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.