HomeMy Public PortalAbout4884 TEMPLE CITY BLVD_Plumbing__ Td1iV! OMIT 11-M APPLICATION FOR PERMIT
DEPARTMENT OFBUILMG AND SAFETY L B B I G
COUNTY LOS ANGELES
WILLIAM J.. rF FOX, DHIsr [NGIn[sR
OIEITRICT NO. ZONE I KNIT NIU.
FOR APPLICANT TO FILL IN v y r
PLUMBER / (./J [I D BY RUBY FOR DAT[ IT IBWZD
rIRSTINSP[CTION
SUILDIMM ADDRESS H L/ � ,ter o.✓A c.✓P
OFIY �- AJ TEL Na
_ ADDRESS Z E �e G�-✓ c CID
COUNTY _ -
Lfalcmug O Z-a 74 LOCALITY ,.E (f/ ry
MEAR[Sr
PERMIT FEES CROSS ST. a1tIE J
wuwsEll nrs or FI)MI E on ITEM r[[ OWNER LA A e TO AI
WATER CLOSET(TOILET) @ O SO S MAIL
ADDRESS
BATH TUB @ CSO Q CITY TEL ND
SHOWER @ 0.80 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O 6C Sd APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT
AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK @ D Sp AND STAT[ LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID OS
LAUNDRY T11S O TRAY @ O SO U ANG[L[S COUNTY LIO SE. OR 1 THE LESAL ER
GAB BYBTE UTLLTo @ 0.60 Or TM[ R[BIDENn OP[RTY
SIGNATURE Or
WATER HEATER @ O 60 id P[RMITT[
SLOP BINK @ 050 INSPECTION RECORD
FLOOR BINK @ 0.60 y S L
FLOOR DRAIN @ 0.60
--I d
DISHWASHER @ CBO FTC
DRINKING rOUMTAIN @ coo 'PAS QH I
URINAL @ O BO ✓ J
a
HOUSE SEWER @ O SO =
MISCELLANEOUS O
C
O
APPROVALS
oATL lwortQlDB'B NAME
ROUGH PLUMBING
_ GAS PIPING y
a" VENT 'y
CESSPOOL @ 100 CESSPOOL
SEPTIC TANK- SEPTIC TANK
DRAIN ( ) PIT ( ) @ 100 SEWER
PERMIT t DD An TEST G'�"• c_ 3 S2
• UTILITY DO NOTIrI[D
TOTAL FEE 5 !;A
FINAL ��'