HomeMy Public PortalAbout5745 TEMPLE CITY BLVD_Plumbing__ D.B.8,17 25M BETS 11+66 APPLICATION FOR PERMIT
flEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES T �:f
WM.J.FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT N ORO u ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE
RECEI ED BY READY FOR DATJE ISSUED
HEATER .CE89POOL S<3+TiCTANK t' FIRST INSPECTION .� a
AB 18CELLANEOU �
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
VA"Y "BLVD. PLUMBING & ELECTRIC CO. ADDRtIB6 !� � �- ra.�iv�yrsy�e�•CrJ
B _ADDRESS !�� l�c�ir•yw-CA! l LOCALITY
j - g _._ � NEAREST y
IL .CITY -fFd�.0' TEL.NO. A',��f/� CROSS ST. / '?!� d�sr-�/a'a�•iO.,,se'
CCUY
CERT.No. " EXPIRES ENAME Ali6/�'7 .y 1 a �
LOCATION OF SEPTIC TANEI OR CESSPOOL z MAIL
�. ADDRESS
NORTH O
CITY TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
B
3 OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
ATH TUB ' FURNACE
. Q.
/_ HOWER DISHWASHER O
-LAVATORY REFRIGERATOR -
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
v� WATER HEATER
DENTAL LAVATORY ROUGH PLUMBING
METER ���yy6AS QODA FOUNTAIN
OUTL - GAS PIPING l /
SAO VENT I
�3mmmmu= CESSPOOL I I
TOTAL NUMBER OF FIXTURES ` SEPTIC TANK I I
CESSPOOI sEPTICTANK SEWER I I
TOTAL FEE ® m` UTILITY co.NOTIFIED I 3 - (f `y I e
j RINAI.