HomeMy Public PortalAbout4940TEMPLE CITY BLVD_Plumbing (2) 71118®-CC7�117-lld/
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES + ,
DEPARTMENT OF COUNTY ENGINEER �p
BUILDING AND SAFETY MVISION D»'SBI�
C eAffiPa D.''A°®aBaFIIf=t ,A*D'O">AUhv
FOR APPLICANT TO FILL IN NSAH86T
088
NUMBER FIXTURE OR ITEM
OWNER
WAYBfl CL08E1' _
RATE TUBDAD REBS - -
SHOWER Clic TEL NO
LAVATORY CONTRA 8
Rei ADDRP88
DUWWAMIEB CITY NO.
LAUNDRY TUB N7RACIOR'B STATE Ey
REGISTRATION NO COUNTY
CLOTIM WARREN DISTRICT NO GROUP I ZONE R7ADY MR WPSCTIOR
WATER]HEATER
GA8 8T8TE.M SIDUSTffiAL
WASTE APPROVAL
ON BECORID
APPROVALS
0 R DO mm ITEM ` � DATE INSP 1 ATURE
O8 EIITDBE J! UNDER SLAB WORK V 'J z
PERMIT f 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GASVENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COYPU HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAB TEST R-e 15
LICENSED AS
REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR TXAT 1 A THE LEGAL ON OF HE ABOVE UTILITYCO NOTIFIED
DESCRIBED RESIDEIITIA E
SIGNATURE 1.41 EZ-
FINAL
OF PERMITT
ROSERTA WOOD
CID, .VALIDATION SUPERVISING MECHANICAL ENG R
Y O CMtl
'� L&2,277M FEB 6 5 A 5.00 :R