HomeMy Public PortalAbout5726 RIO HONDO AVE_Plumbing__ G.B. 17 25M BETS 12-43 --- - .APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
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COUNTY OF LOS ANGELES
Wm-J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE r� 1/-1- / 3 / 8
HEATER CESSPOOL SEPTIC TANK
RZIF f�77BY READY FOR DATE188UED
V 4 ../J� FIRST INS ECTION .y �/A8 MISCELLANEOUSg `r
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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CERT.No. EXPIRES NAME
LOCATION OF SEPTIC TANS, OR CESSPOOL K MAIL
NORTH O ADDRESS
CITY TEL.No.
1 AM THE LEGAL POS SOR OF THE ABOVE LOS
ANGELES COUNTY.CERTIFI A OR ALIF TION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIB
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ABOVE.
.� OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
BATH TUB FURNACE E9
SHOWER DISHWASHER 13
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR BINK BAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR-B NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I
METER AAe 6ODA FOUNTAIN I
OUTL GAS PIPING
43A6 VENT
CESSPOOL I
TOTAL NUMBER OF FIXTURES SEPTIC TANK
LCESSPOOL______SEPTIC TANK 00 SEWER I
SUTILITY CO.NOTIFIED I
TOTAL FEE , e, � o
FINAL
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76A667-CE61712/59 TEMPLE CITY
-~ APPLICATION FOR PLUMBING PERMIT �.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUi l G = ,SAFETY MSION P)ADD
I
JOHN A. MBI COUNTY NGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN .NUMBER FIXTURE OR ITEM WATER CLOSETBATH TIIB TEL
NO. rib
SHOWER
LAVATORY CONTRAC R
siNs ADDRESS• 6
DISHWASHER i CITY j TEL NO. b`(�✓�`i7/
ICONTRACT .p STATE. El
LAUNDRY TUB ;REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP /ZONE P CESSED BY
WATER HEATER
GAS SYSTEM (INDUSTRIAL
{WASTE APPROVAL
+r r f 7 INSPECTION RECORD
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to
Q E PER IT=
OR AT $ +I
• I !^ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 iUNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
HGAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND -STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE. LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPER • llTILITY CO.NOTIFIED
SIGNATURE
1 I
OF PERMITTE FINALPill
�a VAMATIO. N-- ROBERT A.WOOD,
CK. M.O., CASH/)/,SUPERVISING MECHANICAL ENG'R
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