HomeMy Public PortalAbout4836TEMPLE CITY BLVD_Plumbing (2) 7EAR7 M17 12/59 TEMPLE
EME C
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APPLICATION FOR PLUMBING PERMIT.
O OF LOS ANGELES
DEP
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B.JLJMIV A�AT+I�IE. C`-OUNTY tII NEEERi ADDRESS G
WILLIAM JENSEN SUP T OF BUILDING
Il LOCALITY FOS APFLiCANi TO FILL IN NEAREST 17
cBc HT
NUMBER FIXTURE OR ITEM OWN®
WATER CLOSE! OWN
BATH TUD ADDRESS
CTTT PO.
MOWER
CD8TR14CT08
LAVATORY
sa ADDRESS
DISHWASHER ClTf NO
CONTRACTOR 9 STA ❑
LAUNDRY TSB REGISTRATION NO COUNTY
CLOTHES WASHER DIB/ ROUP Z TRICTNO GNE EBBED BY
WATER HEATER �! 6
OAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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APPROVALS DATE INSPECTOR 9916NATURE
PERMIT $ 2100 UNDER BLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HERESY ACKNOWLEDGE THAT 1 SAYE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
1 HERESY CERTIFY THAT 1 AM PROPERLY RKGISTERED AND/OE PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA ON THAT I AN THE LEGAL OWNER OF THE ARM
DESCRISED RESIDENTIAL PROPERTY UTILITYCO NOTIFIED
SIGNATURE
OF PERMITTE FINAL
l�
®r VALIDATIOBERT A WOOD
SI �IUPERV191NG MECHANICAL E.N6 R �
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