HomeMy Public PortalAbout6240 TEMPLE CITY BLVD_Plumbing__ e a 17 ser+": APPLICATION FOR PERMIT
DEFARTMENT OF BUELDING AND SAFETY '
COU OF LOS ANGELES CHIEF ENGIN®t PLUMBING
NATURE WM J FOX.
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ROUGH FIXTURES tKPTrTA]NK];j
y 6`�x-78NEATER CESePOOL RECEIVED GY READY FOR DATE RTBUM
T M FIRST INCFECTION v - 1��
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APPLICANT FILL IN HEAVILY OUTLINED PO ON ONLY
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NAME C7W `PY • ADDRESS O El/a� S.ai I3II,1Ad
ADDRESS LOCALITY . P %.. n 41
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CITY T6 No NUR ST /7\Af (�F k
COUNTY 1 11
CERT NO 1"IRM NAME �`/ PO I-I-%H �
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LOCATION Ox+ SEPTIC TANS, OR CESSPOOL ADDRESS �I 0 v I/��e
6 NORTH { n � n
all TEL No
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�` I AM THE LEGAL POSSESSOR OF TTIE ABOVE Los
2TLS (O I ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
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I AM THE LEGAL OWNER O►THE PROPERTY DESCRISED
ABOVE. �p �
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CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
z
-IIATH TUM FURNACE o
Hovama��4% DlBHWASHER p
--'!/--LAVATORY REFRIGERATOR
r(CN4N GINE WATER SOFTENER
R OINK OMDTRAP
LINK F DDR DRAIN
WARN TRAY URINAL APPROVALS
✓ WATER CWSR DRINKING FOUNTAIN DATE 1 Y
WATER NUTER DENTAL LAVATORY ROUGH PLUMMI G
c
6TEp.�0A0 DO"FOUNTAIN
OYTL GAD PIPING
GAO VENT
CESOPOOL
TTOTAL NUMBER OF FIXTURES SEPTIC TANK
t T
CESSPOOL.----AEPTIC TANE01
® V SEWER
/nUTILITY CO 1 OTI ED44
FINAL
TOTAL F66 l -
Da * [EN[[Te 11-44 APPLICATION FOR PEF2=
DEPARTAtUNT OFLOS NG AND BAFPPL4PLUMINGr--: COUNTY OFF TY
LOS ANGELES
WM,J. FOX.CHIEF ENGINt�I
A O /L?N _O
ROUGH FOtTUNM ' 1 COY I '` �, � (�
NGTER CEESF�OL S7IPTIC TANK FIRST INSPECTION READY F091 DAT[IIStJm
( _ — �O
APPLICANT IN HIMAVTT Y PO ON ONLYA
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NAY[ ADDRESS
D ADDRESS I LOCALITY
D NGR[ST
• CITY TEL No CROSS ST.
CDR
C[RT No Q►FRES C NAM[
LOCATION OF SEPTIC TAN$ OR CESSPOOL A..ESN
NORTH O
CITY TEL No
1 AM THE L[GAL POSSESSOR OP TH[ ASOWB LOS
ANGELES COUNTY CZRTInCAT O G Ing 6
P
I AM THE LEGAL OWNER OF THE PROPOtTY D I
ABOVE
OMMDI
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK 4
z
ATX TUB - FURNACE 0
Q
XOW[R DISHWASHER Q
VATORY R[FRIO[RATOR
ITCHEN BINK WATER SOFTENER
FLOOR SINK MANDTRAP
LOP BINK OOR DRAIN
WASH TRAY URINAL APPROVALS
/ WATER CLOER DRINKING FOUNTAIN DATE Iwv[ciow•HANK
WATER HEAT DENTAL LAVATORY ROUGH PLUMBING
6T[ L )^"A FOUNTAIN GAB PIPING
OYTL
OAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES O SEPTIC TANK i
CESSPOOL 0EPTICTANK SEWER
S D O UTILITY CO NOTIFIED _
TOTAL FEE