HomeMy Public PortalAbout5913 TEMPLE CITY BLVD_Plumbing (2) D.B.S.17 ISM SETS 12.44 - - • .. . `APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING.AND SAFETY
COUNTY OF LOS ANGELES - PLUMBING I
WM.J,FOX,CHIEF ENGINEER .
NATURE OF INSTALLATION -DISTRICT NO. GROU ZONE gPERMIT No.
ROUGH FIXTURES COMPLETE C� /
HEATER.. CESSPOOL -I SEPTIC TANK' RECEIVED DATE FOR ISSUED
!� /�i FIRST INSPECTION DATE
GAS MISCELLANEOUS - r / I--- AY
ARPLICANT FILL I)g HEAVILY OUTLINED P
ORTION Qni YJOB
E NAME - ADDRESS'DRESS
.� ADDRESS 1 -1 . +� � �^ LOCALITY 7.04r/}���sJ Yp 1
EAR
aCITY ' :+'A ! TIfo :� y��f� CR
ELL OSB T.COUNTY
CERT.No., EXPIRES Xjv"l�s! NA�--,r7i?�t
LOCATION bF SEPTIC
NANB, OR CESSPOOL' z MAIL
O ADDRESS-
,
CITY '_ .s(�_d.l1 1 TEL.No.
1 AM THF�LEGAL�PO88ESdOR' OF THE ABOVE LOS.
ANGELES COUNTY CEItT1�41C •E f-QUAL1 I ION.' .
90,
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED'
ABOVE.
OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF MORK 74
MATH-TUB FURNACE r
------SHOWER x DISHWASHER O
."VATORY REFRIGERATOR
KITCHEN SINK WATER'SOFTENER
FLOOR SINK SAND TRAP '
SLOP SINK": FLOOR DRAIN.
------:...WASH TRAY '-URINAL
PR®vALS
_;.WATER CLOSET _ DRINKING FOUNTAIN,
, - - DATE. INSPECTOR'S NAME
Fv'r-Esspoof-.
ATER HEATER DENTAL LAVATORY I
ROUGH PLUMBING
1.
ETER GAS SODA FOUNTAIN GAS PIPING��OUTL GAS VENT
MAO&/ CESSPOOLOTAL NUMBER OF-FIXTURES (/�" SEPTIC TANK
SEPTIC TANK SEWER I
1 $ UTILITY CO.NOTIFIED I
I TOTAL FEE I
RINAL