HomeMy Public PortalAbout4903TEMPLE CITY BLVD_Plumbing (2) TeAeeT CE#9179 61
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LQS_AN
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ADDRESS 49n3 T.ml . C4t, BI
WILLIAM A JQNGEN. SUPT OF BUILDING
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FOR APPLICANT TO FIIS RQ ST
ST LoWar ATtiqq HA
NUMBER FIXTURE OR ITEM
Robert zonag
WATER CLOSET SIL
HATS TDB ADDRESS 4903 JAml)le City BlVA .
CITY PernplgGjt;E: ,O-
SHOWERTTT
LAVATORY CONTRACTOR -ARrQ T�JWRTMr.
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DISHWASHER CETT MOnL NO'
LADHDET TOB REMSTEATION NO.
CLOTHES WASHER DIQTRICT NOOROYP ZONA PROCESSED BY
1 WATER HEATER S a
IIMU37 1AL O
aAs � WASTE APPROVAL w
DEAPECTION WCORD A9
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W
d
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Z
O $1.00 PER ITEM
OR FLTTOBe s 1.50 APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT f 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
OAS PIPING
1 NERNST ACKNOWLEDGE MAT 1 HAVE RSAO THIS APPLICATION
AND STATE THAT THE ASOVK iS CORRER AND AGREE TO COMRY GAS VENT / i1
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGUUTING HOT WATER HEATER '16
PW MKIRO
I HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANOEL[S COUNTY AND STATE OF GAS TEST
OR THAT 1 AM THE LEGAL OWNER OF THE ASOVE
DESCRISID RESIDENTIAL MOPERTYUTILITY CO NOTIFIED
SIGNATURE
Of PERMI FINAL
�ALROBERT A IWOOD
IN 0
CK M o CARR SUPERVISING MECHECH
ANICAL ENO R
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