HomeMy Public PortalAbout4855TEMPLE CITY BLVD_Plumbing I
76A667 CESEIT 6-65
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING �.
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUPT OF BUILDING LOCALTTT
FOR APPLICANT TO FILL IN NEARESTClogs ST
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NUMBER FIXTURE OR ITEM EACH PEE
OWNER
WATER CLOSET 5125
ZJan vS
BATH TDB 135 AnDERBs �{
SHOWER 125 Z CITY TEL N ^4L
LAVATORY I u 2 CONTRACTOR
BIN[ 125 ADDRESS
DISHWASHER 175 CITY TEL NO
LAUNDRY TOB IIIS STATE LIC
LICENSE NO CLASS
CLOTHES WASHER I I IN DISTRICT NO GROUP LOON[/ /0/P —�EEGKDD BY
WATER HEATER I W T /L i+,
GAR SYSTEM OUTLETS ISO WASTE
INDDUS IIEPLRovAt O
OUTLETS OVER S PER SYSTEM 00 INSPECTION RECORD V
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APPROVALS DATE INSPECTOR a SIGNATURE
PERMIT f 2dTO
UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I N[R[!Y ACKNOWLEDGE THAT 1 NAV[ READ THI[ ARLIGWS VENT
ANO RAT[ THAT TI[ ABOVE I[ CORRECT AND AOR[[ TO CO
WITH ALL COUNTY ORDINANCU AND STAT[ LAW[ RSGUL
PLUMBING HOT WATER HEATER
I HERESY CERTIFY THAT I AM PROPERLY REGISTERED ANPLUMBING FIXTURES
LIC N"O AE REQUIRED SY LOS ANGELES COUNTY AND STATOFGAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTENwnlDa m THe AEOY[ KRI wrnD uL PROP[wrYUTILITY CO NOTIFIED
SIGNATURE I
OF PERMITTE!
FINAL
VALmA1TQN......
cR N D I GeN
LAU02 0 7 7�3 MAY 17 5 D 5,75- Q
CUED AT REf E;�� OF P� RM f�`I
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