HomeMy Public PortalAbout6231-6233 TEMPLE CITY BLVD_Plumbing__ 1GAft7 DW 17 I'-LO APPLICATION FOR PERMIT
DEPARTMENT OF NG AND
SAFETY
COUNTY OF LOS ANGELES
WILLIAMJ. rOX, DHIEF [NaIN[[R PLUMBING
GING
FOR APPLICANT TO FILL IN
PLUMBER L READY FOR
R[ V[D BY OAT[ ISSUED
FIRST INSPECTION
ADDRESS
BUILDING Ai E
OI fh'r TEL No ADDRESS �7 ,
COUNTY LOCALITY774
L /
O I R
NEAREST
=
P R) FIM CROW ST.
MDMLLL TYFL Or FANNY"00IITTCMM FE[ aWN[R
MAIL
ATER CLOSET(TOILET) a OBD S / 6 ADDRESS
BATH TUB • 050 / d CITY TEL No
SHOWER 1350 1 HEREBY ACKNOWLEDGE THAT 1 NAVE READ THIS
LAVATORY (WASH BASIN) ® ago APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT
ANDAGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK O SO Q AND STAT[ LAMS REGULATING PLUMBING.
I LI
CERTIFY THAT 1 POSSESS THE ABOVE VAD LOB
LAUNDRY TUB OR TRAY B 660 d ANGEL[8 COUNTY L CENSE, OR IAM THE LEGAL OWNER
OF THE REBIDENTI PROPERTY DEB ED ABOVE
GAB BYBTE UTLLTB a Goo 0 SIGNATURE OF
WATER HEATER a Ono A P[RMITTE
SLOP SINK • 030 iNspEcTlbN RECORD
FLOOR BINK m 0-50 i SI
FLOOR DRAIN @ O.SO
DISHWASHER 4D O SO
DRINKING FOUNTAIN O O SO
URINAL ! 050 S J
a
HOUSE SEWER B a SO Z
MISCELLANEOUS0
O a C
O
o i
A"R
N
OVALS
DAT[ IM MAML
ROUGH PLUMBING
GAB PIPING
GAB VENT 2- APT
CESSPOOL a ICO CESSPOOL
SEPTIC TANK- SEPTIC TANK
DRAIN ( ) PIT ( ) ® Ica SEWER
PERMITI.DD DAB TEST
• d UTILITY CO.NOTIFIED 'Z
TOTAL FEE • FINAL