HomeMy Public PortalAbout4950TEMPLE CITY BLVD_Plumbing (2) 00617"'" APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF B=ING AND SAFETY
Department of Couatp Enghmw
Coanty Of Los Angeles BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN.SUP T of BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OWNER `n DISTRICT NO GwwP ZZ/ONE READY FOR IRSte DTION
MAIL
INDUSTRIAL
CITY 4EL NO WASTE APPROVAL
PLUMBER LtI INSPECTION RECORD
ADDRESS ac
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CITY TEL NO -4�
LICENSE NO •")7Q
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ 31 00 S QO
BATH TUB g #1 00
SHOWER @ sl 00
LAVATORY (WASH BASIN) @ $100
KITCHENSINK @ $1 00
DISHWASHER ® $100
LAUNDRY TUB OR TRAY 11100
CLOTHES WASHER 4100
WATER HEATER @ fl 00 QQ
GAS SYSTEM @ $1 00
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
ROUGH PLUMBING lf'
PERMIT 1111 00
OAS PIPING
TOTAL FEE 0'O
OAS VENT
1 HEREBY ACKNOWLEDGE ABO THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE E LATING HOT WATER HEATE0.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AY PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AY THE LEGAL OWN OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL•PR RTY
SIGNATURE
OF PERMITTER • FINAL
JOHN A LAMBIE CouNn ENGI ER S�kALIDATION ROBERT A WOOD CHIHF PLBG INSPECTOR
C[ Y S GSH
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