HomeMy Public PortalAbout4452-4454-4456-4458TEMPLE CITY BLVD_Plumbing (2) vanaaT ci:elT a as -
APPLICATION FOR PLUMBIN PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDUIG �G
JOHN A LAMBIE COUNTY ENGINEER
I-a;zl 17,449
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL iN NE TT
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSES OWNER
tI RS
RATN raR I IS aAa 8S ,JZ
SHOVM " 195 CITY E TEL No
LAVATORY 125 CONTRACTOR gg
SIE 115 ADDRESS _
DISHWASHER 125 CITY JZ�71�7 / ?.TEL no -
LAUNDRY TUR 145 STATE / LIC
LICENSE NO Uj(� CLASS J64
cwTHffi LOATHER 195F
Or ROU 7 i FR E
WATER HEATER 1 50Vim/OAS SYSTEM OUTLETS 150 AL OUTLETS OVER 5 PER SYSTEM 50INSPECTION RECORD V
O
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N
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APPROVALS DAT INs CT sa�aHATURE
77
PERMIT SJA"Ll"T
0 UNDER SLAB WORK i
ROUGH PLUMBING
TOTAL FEE
GAB PIPING
1 HERESY ACKNOWLEDGE THAT I HAVE READ THISN GA6 VENT
AMDSTATE THAT THE ABOVE IE CONVECT AND AGRELYWITHALL COUNTY ORDINANCES AND STATE LAWSG HOT WATER HEATER
PLUMBINGHERWYCERTVYTHAT I AM PROPERLY IRGIETR PLUMBING FIXTURES
LICENSED AE REQUIRED RY LOS ANGELES COUNTY AOR GA6 TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AMTORESIDE wTHE waovc DEBORUBORnmENTIAL PROPERUTILITY CO NOTIFIED
SIGNATURE
FINAL
OF PERMITTE
VALIDAIY
CK M o c.eN
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