HomeMy Public PortalAbout5843 TEMPLE CITY BLVD_Plumbing__ D. B. 27 4-99 29M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING ArMBITA T�
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICTNO. GROUP tON/pE PERMIT No.
ROUGH I'
PLUMBING FIXTURES COMPLETE READY FOR RECEIVED BY DATE ISSUED
NEATER FIRST INSPECTION
CESSPOOL ._ SEPTIC TANK
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB /
NAME- ADDRESS
C
W r.
M ADDRESS LOCALITY :.
n CI -NEAREST
.4J -CITY / TEL No.. t C ST.
COUNTY
:REG. NO.. EXPIRES ; � d'
W NAME +
OCATION OF SEPTIC TANK, OR CESSPOOL z MAIL +
O ADDRESS otp �.,
NORTH
CITY TEL No..
CORRECTIONS
f
m >
W i ,
a
z
SOUTH
DESCRIPTION OF WORK
BATH TUB FURNACE
HOWER DISHWASHER
APPROVALS
ALS
VATORY REFRIGERATOR DATE INSPECTOR'S NAME
KITCHEN SINK WATER SOFTENER ROUGH PLUMBING
LOOR SINK QAND TRAP GASPIPING....
LOP SINK FLOOR DRAIN GAS VENT
WASH TRAY URINAL CESSPOOL
WATER CLOSET DRINKING FOUNTAIN SEPTIC TANK .
WATER HEATER DENTAL LAVATORY SEWER
METER_Z. GAS ----SODA FOUNTAIN UTILITY CO. NOTIFIED .J 3
OU.TL
FINAL 'LL1 G '
1 AM THE LEGAL OWNER OF THE BOVE LOS ANGELES
COUNTY REGISTRATION NUMBER.
TOTAL NUMBER OF FIXTURES_
EPTIC TANK PLUMBER
ESSPOOL Q+� IAM THE LEGAL'OWNER'OF T IR OPERTY DESCRIBED
TOTAL FEE