HomeMy Public PortalAbout5015TEMPLE CITY BLVD_Plumbing 76A667-CEbBI7 6 55
APPLICATION FOR PLUM G PERMI
COUNTY OF LOS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION � �+
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FRS IN 1°'0
CROSS 8T
NUMBER FIXTURE OR ITEM EACH Fit
OWNER
WATER CLOSET 8125
KAM
BATH TOB 125 DRPB/8�
SHOWER 175 / TEL NO 8O
LAVATORY I15 CONTRACT
SINE 175 ADDRESS
DISHWAS}RR 175 CITY TEL NO
LAUNDRY TOB 175 STATE LIC
LICENSE NO CLASS
CLOTHES WASHER 1 75 OI RIOT N OR ONE F BY
WATER HEATER 150
GAS SYSTEM OUTLETS 150 INDUSTRIAL a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM 00 INBPECTION RECORD U
O
a
N
Z
a
APPROVALS DATE ^INSPECTOR Y SIGNATURE
PERMIT f 2 ]TO
UNDER SLAB WORK
ROUGH PLUMBING
TOTAL PEE GAS PIPING
I H[R[OY ACKNOWL[DO[ THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STAT[ THAT TN[ AROVK IS CORRECT AND AGREE TO CO
Wf ALL COUNTY ORDINANCES AND RATE LAWS ASIGUL
PLUMEING HOT WATER HEATER
I HER c[Rllrr THAT I AM PROPERLY RroIST[IQo ANPLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND RATGAS TEST
CALIFORNIA OR THAT I AM THE "GAL OWNER OF AND INTEN"SID[ IN THE ABOVE DE CRIBED RESIDENTIAL PROPERTYUTILITY CO NOTIFIED
SIGNATURE
OF PERMITTE ESSSISSSISISSIMISSISSIM FINAL
ALIDATION
( CK/ M O CASH
LAGp2 1 3 9—� MAY 18 5 D 4.00" o
I