HomeMy Public PortalAbout5913 TEMPLE CITY BLVD_Plumbing D.D.S.17 25M SETS 12-44 - ' • .- APPLICATION FOR, PERMIT
DEPARTMENT OF BUILDING AND SAFETY,
COUNTY OF LOS ANGELES : . L� i • G I
WM.J. FOX,CHIEF ENGINEER
NATURE OF INSTALLATION DISTRNO. GROUP ZONE PERMI O. t
ROUGH. FIXTURES COMPLETE
.S �-
HEATER -CESSPOOL —I SEPTIC TANK RECEIVED BY -READY FOR- DATE ISSUED"
FIRST INSION
7-31 A
� ,
GAS MISCELLANEOUS
APPLICANT PILL IN HEAVILY OUTLINEI,SD PORTION ONLY
JOB
S NAME/!'/. /�. lrlY/ i.n.�f� ..CI�I.•/.,_. ADDRESS /iH a/.Z ,�)„fsL✓ /_. c
ADDRESS -� T.04 F'rf'ii`74 / LOCALITY , + .yam?�� �� sf /•, -
CITY�..dv,.ls�./_, ,•Iris/ TEL No. CROSS ST.
•COUNTY / � I
CERT:No. EXPIRES W NAME 'sji^Z4l^I�(? j�FryWotit,�Y•r�A
LOCATION OF SEPTIC TANK;OR CtSSPOOLd Z' MAIL .
_ NORTH O ADDRESS
CITY TEL.No.
I AM THE LEGAL 'POSSESSOR OF-THE ABOVE LOS
ANGELES COUNTY JC�ERT�IF)FICAT6�pOyF�,QUALIFICATION.
�,+/"�2 /fie(I�,y/�(�L•�J'sC'•J
PLUNDER
I AM THE LEGAL OWNER OF THE PROPERTY'DESCRIBED
ABOVE. ,
_ OWNER
CORRECTIONS'
SOUTH
DESCRIPTION OF WORK ... �
ATH TUB FURNACE O
¢ROWER DISHWASHER C
LAVATORY REFRIGERATOR
—KITCHEN SINK —WATER SOFTENER
FLOOR SINK BAND TRAP
SLOP SINK FLOOR DRAIN '
WASH TRAY URINAL
APPROVALS.
'WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME '
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I
METERGAS - - SODA FOUNTAIN
Oult GAS PIPING
- GAS VENT II `
CESSPOOL
TOTAL NUMBER OF FIXTURES 9EPTIC.TANK -
ESSPOOL"_____SEPTIC SEPTIC TANK SEWER
S
TOTAL'FEE UTILITY CO.NOTIFIED I
� _ _ /
I _ I FINAL