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HomeMy Public PortalAbout5842-5844TEMPLE 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 D 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 �'