HomeMy Public PortalAbout4303TEMPLE CITY BLVD_Plumbing (2) 76A667 CE4617 6-66 T vC 4r_7-
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FADDE988'
` qe_,D�.J,
JOHN A LAMBIE COUNTY ENGINEER �/�/
COLEMAN W JENKINS SUPT OF BUILDING
FOR APPLICANT TO FILL IN O d5
NUMBER FIXTURE OR REM EACH PEE
WATER CLOSET SI 13 / 2
EATS TDB 1 25 SHOWER 115 CITTO.V TEL NLAVATORY 113 ZJ CONTRACTORSDR 1n ADDRESS LL NDISHWASF® 1ss CITY c TEL NLAUNDRY TOB 115 STATE o LILICENSE NO 9Q CL
CLOTHES WASHER 115 DISTRICT O ORO P ZONE PROCESSED BY
WATER HEATER ISO 3r� �7
OAS SYSTEM OUTLETS 1 30 INDUSTRIAL a
WASTE APPROVAL O
OUTLETS OVER S PER SYSTEM 30 INSPECTION RECORD V
LJ ad
G
W
a
z
Z
APPROVALS DATE INSPECTOR SIGNATURE
PERMIT S 2 OO UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEET
GAS PIPING
I HEREBY ACKNOWLEDGEAB* THAT I RE READ THISGRE TO COMPLY
GAS VENT
AMO RAT[ THAT THE AIOV[ 1[ CORRECT AND AOR[[ TO COMELY
WITH ALL COUNTY OROIMAMCL AND [TAT[ LAW[ REGULATING
FLU MRING HOT WATER HEATER
I HER®v CERTIFY THAT 1 AM FROFt RLY R[Glrt[R[O AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED RY LO[ ANGEL[[ COUNTY AND [TATE OF GAS TEST
CALIFORNIA OR TXAT 1 AM LEGAL OWNER OF AMD INT[MO TO
RUI
OR IN THE ABOYt Ot[C D RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
/VALIDATION
l/.C1/' H O CASH
Al,✓o 4 7 7 SIT SEP 16 5 D 5.75-