HomeMy Public PortalAbout5437 BALDWIN AVE_Plumbing__ (2) 7BA667-CE61A 3 59
COUNTY OFFICE TEMPLE CITY
-588 APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE County. Eng�neer ADDRESS 5 4 3 7 Baldwin Av..
C SATT D GRIFFIN suet of B,nla�ng LOCALITY Temple C1ty
FOR APPLICANT TO FILL IN NEAREST
CROSS ST Olive
NUMBER FIXTURE OR ITEM OWNER R.Townsand
2 WATER CLOSET MAIL
1. BATH TOB ADDRESS
CITY TEL NO
SHOWER
2 LAVATORY CONTRACTOIfONTANA PLUMBING CONTRACTORS
SINK ADDRESS 13329 E Ecl-o- Si-reefDISHWASHER CITY City of Indusfr A10, ED 7 7226
CONTRACTOR S 96496 STATE [ILAUNDRY TUB REGISTRATION NO COUNTY ❑
CLOTHES WASHER DISTRI NO G ZONE PR CESSED BY
1 WATER HEATER
1 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
9 ORFIXTURE 00 � $ I 9.00
APPROVALS DAT//E INSP TOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK / O i A' -
TOTAL FEE ROUGH PLUMBING ]
1 1 OO GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PERT' UTILITY CO NOTIFIED
•
SIGNATURE \ &�_
AA
OF PERMITTER
FINAL U
®P nVALIDATION ROBERT A WOOD
cK ® o CASH SUPERVISING MECHANICAL.ENG R
f�o 0 9 4 6 3 i.Al 8 5 A 1 10 to �
Ai �