HomeMy Public PortalAbout5616 ROSEMEAD BLVD_Plumbing__ s. 17 •41 "M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WM J FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NOCROUP ZONE PERMIT NO
ROUGH 1 '4
PLUMBING PIKTURES COMPLETE
RECEIVED BY READY FOR OAT[ ISSU®
HATER CESSPOOL SEPTIC TANK 4 P1RB71NHPECTION 3 /O _
GAB MI N UB11
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
NAM[ JOB
oftADDR[SS
m
ADDRES jN LOCALITY
I
L C=Ml CITY TEL
No E
COUNTY
COIT No IpEH
�' NAM[
LOCATION OF SEPTIC TANK, OR CESSPOOL wo n[ee
NORTH O
CITY TEL No
1 AM THE LEGAL POSSESSOR OF THE ABOVE L08
ANGELES COUNTY CXRTIF1 QUALIFICATION
PLYMOKR
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
t8 ABOVE.
3 ow a
yY
CORRECTIONS
BOUT" J
DESCRIPTION OF WORK Z
o
wTH TUB _ .IBRNwcs
SHOWER _ DISHWABHER 0
YATORY - REFRIGERATOR
SBTCHEN [INK WATER &OFTENER
--FLOOR BINK - SAND TRAP
SLOP BINK BOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INMP oR•NAMi
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
[TW OAS _ SODA FOUNTAIN GAB PIPING 1
OUTL
GAB VENT r
CESSPOOL
1 TOTAL NUMBER OF FIXTURES SEPTIC TANK
,J_.—C[BSPOOI SEPTICTANK oc SEWER
UTILITY CO NOTIFIED
TOTAL FEE / 6 O RIVAL
A IT 8 41 MOM APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WM J FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP ZONE P RMIT N
ROUGH FIXTURES
HEATER CESSPOOL I—ISEPTICTACOMPLNK FIRST INSPECTION
RECEIVED BY READY FOR DATE IBI
OAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
NAME Company, R
ADDEaB 208-10 S Roaamead Blvd. ,
= ADDRESS _ 5039 York Blvd. , LOCALITY Temple City
A CITY g No Al 011 CRO OST
CERT
COUNTY
N A463 n 1 41' HAMS HenryC
. Anderson-
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 ADDRESS 601E Sprinffvale.
NORTH O
CITY 1106 An ales TEL No
1 AM THE LEGAL POBBEtSOR OF THE ABOVE LOS
ANGELES COUNTY CERTi FI E OF GU FICATION
FLYYRG
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
'.j O OWNER
•i CORRECTIONS
SOUTH
DESCRIPTION OF WORK
TH TUB rU9NACE IL
7
SHOWS" DISHWASHER D
VATbRY REFRIGERATOR
ITCHEN LINK WATER SOFTENER
SINK RAND TRAP
-SLOP SINK ---------FLOOR GRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INtFECTOR•NAME
WATQi HGTM DENTAL LAVATORY ROUGH PLUMBING
ETER�nR SODA FOUNTAIN GA PIP NtLr L
GAS VENT
CESSPOOL
TOTAL NUMBER OF FUITURSS V SEPTIC TANK
IC TAN SEWER
t UTILITY CO NOTIFIED
TOTAL FEE 6 F,O D
_FINAL _