HomeMy Public PortalAbout5533 PAL MAL AVE_Plumbing__ D.D.S.-17 25M SETS 6-46 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY '
COUNTY OF LOS ANGELES
Wm. J. FOX. CHIEF ENGINEER PLUMBING
fAAl_
TURE O INSTALLATIONDIST 1 N GROU o e P IT
FIXTURES COMPLETE / �,/� � '�
� CESSPOOL SEPTIC TANK IVm BY RlADY FOR DAT[ ISSUED
FIRSTINBFICTIONAPPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
C. NOTTINGHAM CO. ,AOBD REBS.OF TEMPLE CITY
LOCALITY
123 N. k_r_UVLKLY AVL. NEAREST
TFMPLE e'IT�Te1tt LSF CRossFr.
. "FIRES WNAME OF SEPTIC TANK, OR CESSPOOL = MAIL
ADDRESS
NORTH O
CITY TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
■ ABOVE.
W 1
,= y
OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z_
BATH TUB FURNACE
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN BINK WATER SOFTENER
FLOOR BINK SANDTRAP
SLOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DAT[ INSPECTOR-B NAY[
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
METERGA■ SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL �f
TOTAL NUMBER OF FIXTURESSEPTIC TANK
L ^
CESSPOOSEPTIC TANK � � SEWER I
a I '
UTILITY co.NorlrlcD
TOTAL FEE - .,�„ ,•,t
FINAL