HomeMy Public PortalAbout5475 TEMPLE CITY BLVD_Plumbing__ �D APPLICATION FOR PEANIIT
DEPARTbIENNT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP I ZONE PERMITNO
A-19 3
PLUMBER RECEIVED BY READY FOR DATE ISSUE15
FIRST INSPECTION
ADDRESS S ' 11 ,/ 3
CITY A TEL NO 'Y'+'YdY' AD&'G lWa� ` C �+Vy
LIG HNTM NO Q IR ^ , LOCALITY 1 1 5-4
1 tr
pfRT cn NEAREST _
PERM FEES CROSS ST ^
NUMEER TY"OF III m OR IT[M FEE OWNER C-0
AIL
I WATER CLOSET TOIL 030 S ADDRESS
BATH TUB a O SO TEL NO FO Q L
SHOWER a O BO 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
J LAVATORY WASH BASIN O BO is C APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK O BO I d 1 CERTIFY THAT i POSSESS THE ABOVE VALID LOB
LAUNDRY TUBO TRAY O SO 1J' AN1 COUNTY LICEN H OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL P EATY DESCRIBED ABOVE
GAS SYSTEM O ETS O BO a SIGNATURE OF
WATER HEATER O SO PERMI
SLOPSINK O BO RotTION RECOlb
FLOOR BINK O 40 i�'1•r
FLOOR DRAIN O SO
DISNWABHER O BO
DRINKING FOUNTAIN a O BO Lgge ID i
URINAL DEG ,J
HOUSESEWER O BO
MISCELLANEOUS I
Z.
APPROVALS
DATE IN.I6 R• NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 1 OOI CESSPOOL
SEPTIC TANK BE"IC TANK
DRAIN ( ) PIT ( ) ® 1 00 SSWER
PERMIT 1 00 Ewa TAT
n
UTILITY CO NOTIFIED /
TOTAL FEE 1 Yj FINAL
3