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HomeMy Public PortalAbout4912 TEMPLE CITY BLVD_Plumbing__ 70AEE7C (C&-EITe) -E/TE APPLICATION FOR PLUMBING PERMIT (:;� 'O BU INO AND SAFETY KVS ION FOR APPLICANT TO FILL IN (PRINT OR TY PEI BUILDING DDRESS Iz- T11 LE C,r B�� NUMBER FIXTURE OR ITEM ® FEE WATER CLOSET LOCALITY BATH TUB NEAREST CROSS ST SHOWER OWNER G T }ALL LAVATORY MAIL ADDRESS '' ``�Z 'SEM �TEJ BAV SINK CITY '/El)1 )L..E� Cf,Ty TEL NO a.p 6 704 1 DISHWASHER CONTRACTOR b , , �y�Aeg E2 CLOTHES WASHER ADDRESS 766 C . �F1L�ow eiv SWIMMING POOL Oil CITY A TEL NO -bii LAWN SPRINKLER YS M CnV i�p �QLIC ' j WATER HEATER STATE CENSE NO a I �'�`� CLASS L- a O DIS PICT N R UP NE CES D By V GAS SYSTEM OUTLETS 8 „4 t z OUTLETS OVER DO 0 5 PER SYSTEM Ug U WASTE APPROVAL H INSPECTION RECORD i LI c6 OK Plan check tee ' PLUMBING PERMIT ISSUING FEE S TOTAL FEE Plan check applicant Name APPROVALS DATE INSPECTOR S RIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel NO GAS PIPING I HEREBY ACKNOWLEDGE THAT I NAYE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IE CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDI RANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUM p1 NO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALI FO RRIA OR THAT I AM THC LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED SIGNATURE 1n' OF PERMITTEE • a� FINAL PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M G 5 3 1�FEB / 5 0 7.5 0 A= i o e R-IV 2w MCTM I,Jt ` '" APPLICATION FOR PEFWr DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES .' �L������ WM J FOX,CHIEF QIGINEER I =- rINAMOF INSTALLATION LHIMRICT NO GROUP I ZONE I PERMIT NO. `) ry Q N /IIRUR111 COMPLETE � !:ONON iw 's CESSPOOL EERIC TANK BY FOR FTION APPLICANT FILL IN HEAVE OUTLINED PONLY d � AADDRESS Y my LOCALITY No ��' CRROOSS STST.BEEPER NAME OF SEPTIC TANK, OR CESSPOOL MAIL ADDRESS NORTH CITYTEL NO 1 AM THE LEGAOR OF THE ABOVE LOS AN06O O NTY COP QUALIFICATION. M1 AM THE LEGAL HE PROPERTY DES R1111D ADOM OWNDI CORRECTIONS SOUTH J DESCRIPTION OF WORK i ATN TUB FURNACE � rc ROWER DISHWASHER O 4-LAVATORY REFRIGERATOR ITCHEN BINK WATSRBOFTQIER R SINK RAND TRAP OP SINK F DDR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INYKTON•NAN• W LATER HEATER DENTAL LAVATORY BOUGH PLUMBING v 4 h ETt 12 nAnR^^A FOUNTAIN OUTL OM PIPING OAS VENT CESSPOOL TOTAL NUMBER OF FIXES SEPTIC TANK ESSPt!t7 TICTANK SEWER qq UTILITY CO NOTIFIEDTOTAL FEE .�' l D" 1'" Km '�' APPLICATION FOR PERMITCO DEPARTMENT OF BUILDING AND SAFETY PLUMBING �� � � COUNTY OF LOS ANGELES ®® WM J FOX.CHIEF EIa1NKEe �®I� NATUREOF INSTALLATION DISTRICT . ROUGH FIXTURES COMPLETE NEATER CESSPOOL ✓ BEPTIC TANK R 6N 0V !PCWDKBSDR OR DATE ISSUED CADECTION '`` MI N —d— APPLICANT FILL. IN IIEAVIL OUTLINED PONLY NAME ,ADDRESS V S ADORK88 LOCALITY NEAREST CITY T0. No CROSS ST. COUNTY CERT No KXPIRES �' NAME ,LOCATION OF SEPTIC TANK, OR CESSPOOL i MAILNORTH ADDRESSTn-No1 AN THE LKOSOR OF THE ABOVE LOS ANGELES COUNTY O U IFI AM THE LEGALTHE PROPERTY DESCRIB® ABOVE. 01YMY1 CORRECTIONS BGUTH J DESCRIPTION OF WORK a z ATH TUB - FURNACE m C OWEI DISHWASHER p --------LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER R SINK - BAND TRAP OP SINK F DDR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSKT DRINKING FOUNTAIN DATE IKt►KCIOR rAYK WATER NEATER DENTAL LAVATORY ROUGH PLUMBING QTlo SAS A^^A FOUNTAIN OUTL OAS PIPING GAB VENT / CKSBPOOL 7RTAL NUMBER OF FIXTURES 613-TIC TANK ✓/ ESBPOO, SEPTIC TANK SEWER S / `O UTILITY CO NOTIFIED TOTAL FEE IN