HomeMy Public PortalAbout4908TEMPLE CITY BLVD_Plumbing 7GA667 •CIERSIT lE-B• _
APPLICATION FOR PLUMB NG PERM,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY
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U A L3.M BIE C:OU NTY EN6INEGR ADDS D E
COLEMAN W JENKINS, SUr•T OF BUILOIRG LOCALITY
EPA s
FOR APPLICANT TO FRS IN CI Y�eT LO E SA
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET 8113 SQ MAIL
BATH TDD 115 ' S ADDRESS
SHOWER 115 CTTT TEL NO
LAVATORY I n CONTRACTOR R6 E
SHR 175 ADDRESS --!
DISHWASHER 175 CITY ` Cot) I'AjAh' TEL NO �;L-d:o O
LAUNDRY TUB 175 CONTRACTOR STATE
REGISTRATION NO COUNTY
CLOTHES WASIUM ISSIN DISTRICT N :TP E D
WATER HEATED 150 $D � O yy
-GAS SYSTEM OUTLETS 150 Q IND118PL8ovu 6
OUTLETS OVER 5 PER SYSTEM SD INSPECTION RECORD V
' W
6
r'
APPROVALS DATE jMAPECT R S SID ATURE
PERMIT 5 2 OO UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 H[R{pY ACFNOVDOE THAT 1 MAYS RRAD THIS APPLICATION GAS VENT
AND RAT[ THAT TME AOOY[ IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY, ORDINANCES AND STAW LAWS RSGULATINO HOT WATER HEATER
PLUMBING
1 MRRpY, cERTIrr THAT I AM PROPBRLY ARGISTiR[D AND/OR PLUMBING FIXTURES
LICEMBBD AS R:OUIRED BY LOB AMORLu COUNTY AMD STATE or GAS TEST
CALIFORNIA OR THAT 1 AM TH[ LEGAL OWNER Or AND INRND TO
RUIDE IM THE ABOVE DESCRIBED RBBIDBNTIAL PRo Rrr UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
MMATION ROBERT A WOOD
cR o cAWI SUPERVISING MECHANICAL ENG R
BOO 8 0 7-� MAR2_8 5 D 1 1.25- <