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HomeMy Public PortalAbout5851TEMPLE 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 ! 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 �� 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 .•`'!%''`��