HomeMy Public PortalAbout5911 TEMPLE CITY BLVD_Plumbing__ DEPARTMENT OF BUILDING^ tk i
APPLICATION FOR PERMIT l
COUNTY OF LOS. ANGELES
PLUMIN
NATURE OF INSTALLATION DISTRICT No. JOB No. PERMIT No.
ROUGH FIXTURES
PLCOMPLETE
UMBING
READY.FOR E VE Y DATEISSUED
HEATER CESSPOOL SEPTIC TANK FIRST.INSPECTION ��
GAS MISCELLANEOUS
S r
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
NAME - - rfly! JOB
�GW r' P i%'., ADDRESS /,p �r
m ADDRE3 LOCALITY
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7 ' NEAREST
it CITY TE �� CROSS ST.
STATE COUNTY ///
LICENSE NO. REG. NO. a. NAME. �I.�r
DESCRIPTION OF WORK Z MA
DIL _
3 ADRESS
O
BATH TUB FURNACE CITY TEL. NO A-
SHOWER DISHWASHER CORRECTIONS
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL
WATER CLOSET DRINKING FOUNTAIN
WATER HEATER DENTAL LAVATORY .
GAS .1
OUTL. METER SODA FOUNTAIN Q
z
SEPTIC TANK
CESSPOOL. �
0
TOTAL NUMBER OF FIXTURES
LOCATION OF SEPTIC TANK. OR CESSPOOL
NORTH
• 1
w a
els APPROVED •
ROUGH PLUMBING INSPECTOR-8 NAME DATE
{!
GAS PIPING
GAS VENT
CESSPOOL
SOUTH SEPTIC TANK
INSPECTION FEE SEWER
PERMIT FEE UTILITY CO. NOTIFIED1 t•
TOTAL FEE FINAL