HomeMy Public PortalAbout4946TEMPLE CITY BLVD_Plumbing (2) TRAR6r{ERRiT t-SR / XEING
APPLICATON FOR PLPERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUP r OF BUILDING LOCALRT
� 7
FOR APPLICANT TO FILL IN CROSS T
NUMBER FIXTURE OR ITEM EACH FE[ OWNER
WATER CLOSET BI 0 !NAIL
BATH TUB Its ADDRESS
SHOWER Im CRT TEL NO 4
LAVATORY Its CONTRACTOR
SDR 125 ADDRESS
DISHWASHER 115 CRT TEL NO
LAUNDRY TUB 1 is STATE LIC
LICENSE NO CLASS
CLOTHES WARNER 115 DISTRICT U ZONE PR B/e D BY
O C
WATER HEATER 150 S �
GAS SYSTEM—OUTLETS— 1 s0 INDUSTRIALWASTE APPROVAL S
OlUTTtLETS OVER s PER SYSTEM soIt INSPECTION RECORD
r c~a
W
O_
N
Z
APPROVALS DATE INSPECTOR/SIGNATURE
PERMITj
y Oa UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
GAS PIPING
1 XSTAYSZIRSAY A AT We BO THAT I RECAVIK RMAATO COMION GAS VENT
AN STATE TXAT TIC ABOVE IS CORR[R ANDTHITO COMFLY
wrTH ALL COUNTY ORDINANC[S AND STAGULATING NOT WATER HEATER
PLUMBING
I NUS C[RIIFY THAT I AN PROPERLYSD AND/OR PLUMBING FIXTURES
LICENESD AS RSOUIRSD BY LOS ANGSLSS CAND STATE oP GAS TEST
CALIFORNIA OR THAT I A TN[ L[GAL OWNINT[NO TO
RUI OS IN THE AROYL RI R[SI MTIA
UTILITY CO NOTIFIED _
SIGNATURE
OF PERMITTER
FINAL
-M 0mTION JACK R. ALLEN
0 o uEN SUPERVISING MECHANICAL ENG'R
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