HomeMy Public PortalAbout5842-5844 TEMPLE CITY BLVD_Plumbing (2) o:B.17 a.al zBM,. APPLICATION FOR PERMIT
DEPARTMENT OF B=UILDING AND SAFETY
7 COUNTY-OFA LOS ANGELES PLUMBING
WM. J. FOX,_CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE Prz.RmIT IVO.
ROUGH . . I.ci 451-%,70P
PLUMBING FIXTURES COMPLETE
HEATER CESSPOOL SEPTIC REC Y READY FOR
.0DATE ISSUED
FIRST INSPECTION ��� /'•+���
GAS MISCELLANEOUS t�
APPLICAN_ T FILL IN HEAVILY OUTLIN
ED PORNTIOONL�Y' ,Q
E NAME j�1►f�f' I ��/,'lV Y_& ,_/' P
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ADRESS f�L/�/���i tlA
ADDRESS ��d�'t LOCALITY /+ '
CITY ��Jr2 �a*� rEi..No.9r..E9 t cRo88 ST. `-
COUNT? 219 .Q�r �1
CERT.No. �f# �i EXPIRES ��/`!/ I ,NAME 1 dVj�
MAIL
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 - ADDRESS
NORTH •O
CITY TEL.No._
I AM THE LEGAL-POSSESSOR OF THE A13OVE •LOS
ANGELES COUNTY CERTIFICATE-OF QUALIFICA/T�IO,
• _ Q� 7 �D/1sL��TA�1-
PLUMBER
° I AM THE-LEGAL OWNER-O.F_THE-PRCPERTY DESCRIBED
ABOVE.
3 OWNER
CORRECTIONS
ell
SOUTH
DESCRIPTION OF WORK ?
BATH TUB BURNACB a
HOWER DISHWASHER
__.LAVATORY REFRIGERATOR
I t �=
�ITCHEN SINK WATER SOFTENER. -
m OOR SINK SAND TRAP -
-SLOP SINK IS FLOOR DRAIN ,
WASH TRAY 04�' URINAL APPIgOVALS
WATER CLOSET DRINKING FOUNTAIN DATE 1NBPECTOR•B NAME'
WATER HEATER DENTAL LAVATORY ROUGHOPLUMBING
ETER42__GAS SODA FOUNTAIN GAS PIPING i
• OUTL - -
� e
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
SEWER
CESSPOOL- SEPTIC TANK
$ UTILITY CO. NOTIFIED
I TOTAL FEE I I, FINAL I �'