HomeMy Public PortalAbout4946TEMPLE CITY BLVD_Plumbing -64
7E,6S7 CEwBIT `APPLICATION FOR PLUMBir4b PERM
COUNTY OF LOS ANGELES
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JOFN A-LAFI SIE oC uI+TY ENaINLeR
WILLIAM A JENSEN BUP T OI BUILDING LOCALITY
TAMPIA City
FOR APPLICANT TO FILL IN CROSSNEAREST
NUMBER FIIITUR[OR ITEM GCH FLe
owls aHerbert
WATER CLOSET-- _ 8125
[ATH TUR 125 ADDRESS —FF3.restone
_ _ _ —RNOWLE 173CITY C 28LAVATORY 125 CONTRACTOR Antho&y Fools, 1=.RD1L 125 ADDRESS 5871 E, d,DISHWASIM 1u CITY South GsP 3-2210LAUNDRY TDR 125 REGI8�TRA�ON NO 1comm T3
CLOTHES WASHER in DrIBTRI N OU P
WATER HEATER ISO J/ (�
Y
USTRULL
GAS SYSTEM OUTLETS ISO WWAASSTEAPPROVAL Q
OUTLETS OVER 3 PER SYSTEM 30 INSPECTION RECORD V
water paping K
O
d
N
Z
APPROVALS DATE INSPECTOR i SIGNATURE
PERMIT S 2 OO UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 0 GAS PIPING
I HERESY ACKNOWLEDGE THAT I HAVE MAD THIS APPLICATION GAS VENT
AND $TAT[ THAT THE ABOVE IS CONMCT AND
AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS MOULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REOUIREO BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I THE LEGAL OWNER O D INT[ND TO
RESIDE IN THE ABOVE wm[D R[$ EMTUL P RTT UTILITY CO NOTIFIED
SIGNATOR
OF PER
FINAL
ATION ROBERT A W OD
cK M O CASH SUPERVISING MECHANICAL ENG R '
s� LAL08 4 9 O� amyl 1 5 D 350- C