HomeMy Public PortalAbout5907 TEMPLE CITY BLVD_Plumbing 74Aes7 CBS 17 7-31 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
F •R APPLICANT TO FILL DISTRICT �O. GROUP Z
MIT NU.
PLUMB• RECEIVED, Y READY FOR DAT IB UED
FIRST INSPECTION
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CITY .Peom� vex TEL, B ADDRE98 ,
COUNTY ��/ 4-1 y LOCALITY
Lice.B 1N•. m/mEXPIRES .O-7,o NEXREST /�
P FESS DROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE MAIL OWNER / 7
WATER CLOSET(TOILET) 0.50 N ADDRE88 i !� ' v
BATH TUB 0.50 CITY TEL No.
SHOWER 0:50 1 H IV
AC LEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLIC ION ATE THAT THE ABOVE IS CORRECT
AND AGREE TO • PLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0 0.50 ( AND STATE LAWS REGULATING
PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LI•ENSE. OR I AM THE d.EGAL OWNER
GAS BYBTEMOUTLETS O
OF THE RESIDENTI P ER OESCkZIBE ABOVE.
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WATER HEATER tll) 0.50 SIGNATURE
PERMITT
GLOP BINK Q 0.50 QQgpECT= RECORD
FLOOR BINK O.
FLOOR DRAIN ® +SO
DISHWABHER ® 0.50
DRINKING FOUNTA O.BO
URINAL a 0.50 J
Q
HOUB ER O.BO _Z
.M SCELLANEOUS O
O
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APPROVALS
DATE INSPECTOR-8 NAME
ROUGH PLUMBING
GAB PIPING
BAB VENT
CESSPOOL 7:00 CESSPOOL
SEPTIC TANKI SEPTIC TANK
DRAIN ) PIT ( ) 1.00 SEWER
PERMIT 1.00 GAS TEST
TOTAL FEE
7p aJ ')-'r-' 'UTILITY CO.NOTIFIED .�L�
FINAL (r IX�N✓