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HomeMy Public PortalAbout4903TEMPLE CITY BLVD_Plumbing T/Ae/>-EE/en /lER APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS I FS DEPARTMENT�y�y}y� a+>�0�}F s O�NY I�IENGIIOJENER sw D'NO JUFIIV A LSTIE COUNTY PNGIN[[R ADD[F8H O Temple Cit B Yd WILLIAM A JENSEN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FIIS IN NEAREST NUMBER FIXTURE OR ITEM EACH FEE ST OWNER RJones WATER CLOSET $i TS MALL - BATH TOS 125 ADDRESS Basle SHOWER 1 ss crrT TEL KO H-.68 6 LAVATORY 125 CONSRACTOR Installers SIN[ 1 ss ADDR= 10920 E. Grand DORWASHER in cl7y T leCit Tu No 111!2-1234 LAUNDRY TT1R 125 TE RF.O CONTRACTOR EAnoi No 2118 8 CORN" CLOTH WASE® In DIST GROUP ZONE P "BED BY c WATER HZATER ISO l C } OAR RYSTEN OUTLETS ISO IKDUSTRUUL ARSC APPROVAL O OUTLETIS OVER S PER STSTBK 10 OMPZ=ON RECORD V O H d H Z APPROVALS DATE INSPECTOR/SIGNATURE PERMIT :AG� 2 OO UNDER SLAB WORK 3 J ROUGH PLUMBING TOTAL FEEC) GAS PIPING I H[t[pv AT TH DGEAlO THAT 1 CORRECT ttTHIS APPLICATION COMION GAS VENT ANO /TAT[ TXAT THE ASOWL 1/ CORQR AMTO COMPLY WITH ALL COUNTY p DINANC{S AND /TAT -OULATIND HOT WATER HEATER PLUMMINGIMtl®YCERTIFY THAT I AM PIIOPEIILYIKD ANO/oR PLUMBING FIXTURES LICINSED A/ -ODI16D /Y LO/ ANGELES CD tTAW OF GAS TEST CALIIMNIA OR TXAT I AM THE "GAL OWNED INTEND TORUID[ IMTHE Awvt Em REt1OI1mALY UTILITY CO NOTIFIED SIGNATURE OF PERMITTEE FINAL K AMATION ROBERT A WOOD cK M D cAnN SUPERVISING MECHANICAL ENG R V�(o5 2 4 5.o FEB 4 5 D 325— Q