HomeMy Public PortalAbout6418 TEMPLE CITY BLVD_Plumbing__ TMGfT n W"m APPLICATION FOR PERM
DEPARTMENT OF RUWING AND SAFETY L M 1 G 1
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTITNO GROUP ZONE PERd T O
PLUMBER V • Pf:I! r,•.P i i W'LI i.G Q0 RECEVKO BY READY FOR DATE ISSUED
FIRST INSPECTION
oa rni f - II `Y .' .`OXAn �—�7
'LD'No
CITY RO_D C \U TEL NO AT 2.2719 BU0 [eD
LOCALITY
CLICENSE NTY �.. r� p 6 30•aS�
NGREST
FM C
0tI4lIDi1T�Yllw�t ORrtm PER OWNER
MAIL EMPtEC/TY �!.✓�
WATER C TOILET 050 O ADD HDB
BATH TUB a 030 O CITY TEL NO
SHOWEER a O 59 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
V TORY WASH BASIN) O DO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREETO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN BINK O STAT[ LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB ORTRAY O SO ANGKLW COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PRO TY DESCRIBED ABO
ASB BT OUTLETS O
SIGNATURE OF
WATER HEATER 050 FERMI
SLOPSINK a O so INSPECTION RECORD ell
FLOOR SINK Goo
FLOOR DRAIN O DO
DISHWASHER 050
PRINKING FOUNTAIN O 130
URINAL O DO a
HOUSESEWER D SO =
ISCHLLA gOUB �
a
0
APPROVALS
DATE [ NAI[
ROUGH PLUMBING
GAS PIPING
GAB VENT
CESSPOOL 100 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN I I PIT 1 I ® 1 GO SEWER
PERMIT 1 DG GAB T[BT
TOTAL FEE t
6 z SO UTILITY CO NOTIFIED
FINAL fS7'