HomeMy Public PortalAbout5411 TEMPLE CITY BLVD_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer p VA
DIVISION OF BUILDING & SAFETY P L U ®1 N j
WILLIAM J FOX. County Eo01nHt
FOR APPLICANT TO FILL IN
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PLUMBERqE IVED BY READY FOR O T[ ISSUEDFIRST INSPECTION
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CITY TELNoIt 3 ADDR N'A.J
OOUNSE LOCAL
LICENSE N PIR ��
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
^ MAIL
WATER CLOSET(TOILET) ® 060 5 L ADDRESS
BATH TUB @ 050 CITY TEL NO
SHOWER ® 0 50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) ® O 50 APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND ASREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK ® 050 AND STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY ® 060 ANGELES COUNTY LI ENBC. OR I AM THE LEOAL OWNER
OF THE REBIDENTI PRO RTY DESCRIBED ABOVE.
OAS BYBTE OUTLETS ® O 50 Q v SIGNATURE OF
WATER HEATER O 8O PERMITT
SLOP BINK ® 050 INSPECTION RECOR
FLOOR SINK m 050
FLOOR DRAIN ® O 50
DISHWASHER ® 050
DRINKING FOUNTAIN ® 050
URINAL 050 —
Q
HOUSE SEWER ® 050 _Z
MISCELLANEOUS CJS L S O
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t� W O
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LpGrdel
APPROVALS
DATE INSPECTOR R MAME
ROUGH PLUMBING )
OAS PIPING A�(A IIJ
GAS VENT
CESSPOOL ® 1 GO CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) ® 1 00 SEWER
PERMIT t DD GAB TEST 57P ,-A5
TOTAL FEE e UTILITY 00 NOTIFIED
INAL
TOA667 DBS#17 6-52