HomeMy Public PortalAbout4367 TEMPLE CITY BLVD_Plumbing__ APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICTNO GROUP ZONE PERMIT NO
1, /— 2 G3
PLUMBER RECH D READY FOR DATE 1 URD
FIRSTINBPECTION
ADDRESS Gjp
7/
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CRY TEL NO 0 ADDRESS /.UNWy�-.
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LICENSE
NO V /L EXPIRES LOCALITY / /
NEAREST /
PERMIT FEES cRoae Br L+ nn
NuNil[n "M O•TIXTUM OR IT[M PEE OWNER /
MAIL
WATER CLOSET (TOILET) 010 ADDRESS
BATH TUB O DO CITY TEL NO
ILAVATORY
O SO 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
WASH BASIN) O EO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLYWITH ALL COUNTY ORDINANCES AND
SINK O DO STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
Y TUB OR TRAY O SO ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL OP TY DESCRIBED ABOVE
TEM 20UTLETB O SO SIGNATURE OF
EATER O SO PERMITTE
K O EO SPECTION
NK O SO
FLOOR DRAIN O SO
DISHWASHER O SO
DRINKING FOUNTAIN O SO li
URINAL O SO J
HOUSESEWER O SO Q
Z
MISCELLANEOUS p
O
ti
APPROVALS
DATE r INSM=OR• NAME
ROUGH PLUMBING T/
GAS PIPING
OAS VENT
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) ® 100I SEWER
PERMIT 1 DO GAS TEST
TOTAL FEE
18.4
"(� UTILITY CO NOTIFIED
�/
-FINAL