HomeMy Public PortalAbout5851 TEMPLE CITY BLVD_Plumbing (2) D.B.S.n 28M SETS 12.44 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY'
COUNTY OF LOS ANGELES PLUMBING �-
Wm.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GRp�OUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE 5 C55
RECEIY"D BY READY FOR DATE ISSUED 6
HEATER CESSPOOL —I SEPTIC TANK . FIRBTI INSPECTION
GAS MISCELLANEOUS 6ao
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
/ �� ILI"
NAME II�/'"'t�l!-� � �/yas Ir'f%�E�e�P ADDRESS
$ ADDRESS �� ea w. Lr/ �/ i! ®
LOCALITY
D �y NEAREST
6 CITY r� ! `tAil, TEL.No. CROSS BT. .�, S /w /°/ 40)COUNTY
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CERT.No. ,��� EXPIRES �1 X0.7/ ✓( ' f`) °�O
NAME 4. 'w
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
NORTH O ADDRESS �f�� t •/fJ�� � L
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CITY 1��l,fsiT� TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE_ABOVE LOS
ANGELES COUNTY CERTIFICATEO lAALj.FjCATION.
I v PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
OWNER
CORRECTIONS
I
i
SOUTH
a
DESCRIPTION OF WORK
BATH TUB FURNACE Vt
SHOWER DISHWASHER C
.LAVATORY REFRIGERATOR
—KITCHEN SINK WATER SOFTENER
FLOOR SINK RAND TRAP
LOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATFr lNSlA=MRP8 NAME
_® WATER HEATER DENTALLAVATORY ROUGH PLUMBING
+ METER-1—GAS SODA FOUNTAIN
OUTL EAB PIPING I
GAS VENT
—TOTAL NUMBER OF FIXTURES �
CESSPOOL
I
SEPTIC TANK I
CESSPOOL-----SEPTIC TANK ,ryJ,� SEWER I I
8 ®� UTILITY CO.NOTIFIED I I
I TOTAL FEE I FINAL .•`'!%''`��