HomeMy Public PortalAbout4902TEMPLE CITY BLVD_Plumbing TeAM I
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
NT
FOR APPLICANT TO FILL IN(PRINT OR TY PEI BUILDING
NUMBER FI%iURE ORITEM • FEE ADDRESS
WATER 0.05ET LOCALITY
NEAREST
BATHTUB CROSS ST l
SHOWER OWNER Joe, Vallnie,
/ LAVATORY MAIL
ADDRESS
SINK OTY k, TEL NO J,%
DISHWASHER CONTRACTO )IgrAejvRf _
CLOTHES WASHER t ADDRESS
r7
SWIMMING POOL RECEPTOR Y
CITY TEL NO yIV3-/IfA6b
LAWN SPRINKLER SYSTEM STATE �Q_^� i LIC
WATER HEATER LICENSE NO 1/ 7 7 LASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR 5 SNNATURE
?WT`ETS OVER UNDER SB WORK
S PER SYLA
STEM ROUGH PLUMBING 2- f
GAS PIPING IOL
GAS VENT V
HOT WATER HEATER O
PLUMBING FIXTURES G
GAS TEST Z
kekufmefee UTILITYCO NOTIFIED _
MBING PERMIT ISSUING FEE bTOTAL FEE FINALpllcam PLAN CHECKLV-ALIDAf N, a�� 1� aA,"-t.
90 00 c.Tel No l/ACRNOWIEDM THAT 1 HAVE READ THIS APPLICATION A.O STATE
Is CORRECT AND AGREE TO COMPLY WTTH ALL COUNTY ORDINANCES
AND STATE(AWS REGULATING PLUMBING PERMIT VALIDATION 1 /,
I HEREBY CERTDY I AM PROPERLY REWSTERED AMD/OR LICENSED AS ' JDA 3 1. 1 A
REQUIRED BY LOS A.GE LWNTY ANO STATE OF GLIFgIMM OR THAT 1 AM THE
LEGAL OWNER OF AMp TEND TO RESIDE IN THE ABOVE DESCRIBED RESIOlMTIAL q
PROPERTY M • • • (• •'S
SIGNATURE 2 • •'1 1100
OR PERMI
DI {CTJJO� P SEED BY e'e - 1 6005
•J Ofil 1 -79
INDUSTRIAL
WASTE APPROVAL
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