HomeMy Public PortalAbout5568-5570 ROSEMEAD BLVD_Plumbing__ D B B-17 26M RETS 12-45 APPLICATION FOR PERMIT
I)EPARTMENT OFNG AND SAFETY �����'��
COUNTY OFF LOS LOS ANGELES
WY J PDX CN18►ENGINEER
NATURE F MSTALLATION DISTRI O GR PERMIT NO
ROUGH FIXTURES COMPLETE 8C
HEATER CESSPOOL SEPTIC TANK I FIRST INGPECTION EADY MR DATE ISSUED
APPLIC FILL INH AVILY OUTLINED PORTION ONLY
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E NAYS JADeDRESS
W
S ADORESS I,.? \ LoCAuTy i
i
-^ NEAR
CITY, ( TEL No CROSSSST
COUNTY ` _
CERT NO EXPIRES �' NAYS
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAILADDRES/ Ll I
NORTH O
CITY TEL NO
I AYTHE LEGAL POBSESBOR OF THE ABOVE LOB
ANGELES COUNTY CERTIFICATE GU PICA ON
►
1 AY THE LEG"OWNER OF THE PROPERTY PEtTY DESIU
CRIBE
AeOYE
� OwNfi
v CORRECTIONS
;BOUT"
DON OF WORK
ATN TUB FURNACE 0
OWER DISHWASHER
--LAVATORY REFRIGERATOR
ITCHEN BINK WATER SOFTENER
R SINK BAND TRAP
SINK ------FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE IN NAYX
WAT7R HEATER DENTAL LAVATORY ROUGH PLUMBING
EMR Z" MDA FOUNTAIN GAS PIPING
OUTL
OAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CEBBPOOLLB@TIC TANK BEWER
B/ UTILITY CO NOTIFIED
TOTAL PER
FINAL