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HomeMy Public PortalAbout5909TEMPLE CITY BLVD_Plumbing DEPARTMENT OF BUILDING .APPLICATION FOR PERMT COUNTY OF LOS ANGELES PLUMBING NA RE OF TMST TION DISTRICT No. GROUP No. PERMIT No. ROUEN 1 �` 7 I /jj PLUMBING FIXTURBS I COMPLETE v i.� HEATER CESSPOOL SEPTIC TANK RBAFOR RECEI%D! D/�TE/I E FIRST INSPECTION PECTION GAS MISCELLANEOUS 15 —Pmmr= E NAME` , ` _�t-eF/fY_A ADDRESS G/ ]�, W �� �} H ADDRESS //d1�r/!9./�/ LOCALITY ;•_36REST Ir('if CITY r-'TEL. NOCROSS T. LIATE CENSE NO.-92 1167 REBNNO. / W NAME LOCATION OF SEPTIC.TANK, OR CESSPOOL z MAIL v 3 ADDRESS NORTH G CITY TEL NO. CORRE(.'TIONS 3 . z SOUTH DESCRIPTION OF WORK � o BATH TUB. FURNACE ROWER DISHWASHER AVATORY REFRIGERATOR IIlII! KITCHEN SINK WATER 80FTEKKR GLOOR SINK SAND TRAP SLOP SINK In-OCR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GGA SODA FOUNTAIN GABPIPING OUL GAS VENT ® CESSPOOL TOTAL NUMBER OF FIXTUR „ SEPTIC TANK SEPTIC TANK CESSPOOL SEWER I PERMIT FEE I 1®® UTILITY CO. NOTIFIED TOTAL FEE , - - -Z - � P �. 1FINAL