HomeMy Public PortalAbout5910 TEMPLE CITY BLVD_Plumbing (2) UATION FOR
D. 8. „ 4-39 MPL1PLUPING R1T
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WM. J: FOX. CHIEF ENGINEER
NATUREDIF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT
No,
ROUGH I I ' l v� O 3 d9v 7 P
PLUMBING I FIXTURES I COMPLETE READY FOR RECEIVED BY DATE ISSUED
HEATERESSPOOL SEPTIC TANK FIRST INSPECTION
C
GAS ff MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY,
NAME !t'^C j�"� Yr•vi''�H ?�.4�:�� ,' JOB
ADDRESS WK
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NEAREST � y`d
'4J CITY /„�!"Ar Y?I' TEL .No.,.' J� "! s CROSS ST.
COUNTY' r d" V fJ .�� 1 s q =
im REG. NO. EXPIRES M NAME ✓y •,'- �iac�� fir',./s�'��� rc�`,r�' !
Z MAIL �►. r,d--` *..) .Yy ��
LOCATION OF SEPTIC TANG, OR CESSPOOL 3 ADDRESS
NORTH 0
CITY V TEL No.
CORRECTIONS
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W i
3
J
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Z
a
0
SOUTH
DESCRIPTION OF WORK
BATH Tue FURNACE
ROWER D I SHWASHER APPROVALS
LAVATORY REFRIGERATOR DATE INSPECTOR'S NAME
KITCHEN SINK WATER SOFTENER ROUGH PLUMBING
FLOOR SINK SAND TRAP GAS PIPING
LOP SINK FLOOR DRAIN r GAS VENT
WASH TRAY URINAL CESSPOOL
WATER CLOSET DRINKING,FOUNTAIN SEPTIC TANK
WATER HEATER DENTAL LAVATORY SEWER
METER GAS SOD_ A FOUNTAIN UTILITY CO. NOTIFIED /�
OUTL FINAL 02 -P `y/�I 5'�`b
1 AM THE LEGAL OWNER OF THE ABOVE LOS ANGELES
®® COUNTY REGISTRATION NUM R. ^
TOTAL NUMBER OF FIXTURES Aa?t�✓�'�/.� _
SEPTIC TANK r PLUMBER
_ I
CESSPOOL ��Jf I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
Is ABOVE.
TOTAL FEE I OWNER