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HomeMy Public PortalAbout5916TEMPLE CITY BLVD_Plumbing (2) D.S.S.17 1111&1 sun 1.48 APPLICATION FOR PERMIT DEPARTMENT OF BUMIDING AND SAFETY t ' CWM.J. FOX.CHIEF ENGINEER OUNTY OF LOS ANGELES PLUMBING NATURE OF INSTALLATION 01wrRICT No. G Up rc /e P /1 o. ROUGH FIXTURESCOMPLETE OO HEATER CESSPOOL HSEP`rIC TANK RECEIVED BY READY FOR . ` DATE ISSUED .e �) FIRST INSPECTION GAS ' MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY NAME I�`1 _ \!/��` /,1 • `y_7�.�i_ ADDJOB Rfi$S ADDRESS _ 7_ + `s i�y.]^�.t"+/. i 241 LOCALITY' r 1-Z l�'� / NEAREST J v CITY !�/I/,f �iZ�A � EL.No. CROSS ST. COUNTY' It J✓ �� CERT.No. McPIRES C NAME � f!`3'� LOCATION OF SEPTIC TAAK, OR CESSPOOL, ZMAIL NORTH ADDRESS CITY 'm TEL.No 1 AMTHELEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATIION/.� p `PLumelft I AM THE LEGAL OWNER'OR'TN6 PROPBRTY DESCRIBED ABOVE. OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z �. BATH TUB FURNACE SHOWER DISHWASHER O .LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER QLOOR SINKSAND TRAP LOP SINK - QLOOR DRAIN WASH TRAY - URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE IN9PEGTOR'®NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING / METER------GAS. SODA FOUNTAIN / I OUTL GAS PIPING GAS VENTI_ CESSPOOL 1 � // TOTAL NUMBER OF FIXTURES SEPTIC TANK SO �CESSPOO� SEPTIC TANK r' SEWER I S f UTILITY CO.NOTIFIED TOTAL FEE FINAL