HomeMy Public PortalAbout5023TEMPLE CITY BLVD_Plumbing 0091710 EE APPLICATION FOR PLUMBING PERMIT •1
DIVISION OF BUILDING AND SAFETY 1
Depcwtm*W of County Engineer
County of toe Angel" BUILDING
C Blvd
JOHN A LAMBIE COUNTY ENGINEER 8
1-5023 TAgplo CASSATTD GRIFFIN.SUP T OF BUILDING LOCALITY Te le City
FOR APPLICANT TO FILL IN NEAREST
Clow ST
OWNER IC R T,npfagri - DISTRICT NOROUP �ZO�E vGDY rox INSPECTION
ADACLREBB5023 Temple City Blvd. 1 I�LI.s-wool
emp e y INDUSTRIAL
CITY TEL 10 WASTE APPROVAL
PLUMBER"alph W, Pickett
INSPECTION RECORD
ADOREBe 13730* Ban 'Antonio Rd.
CITY "r TEL NO
LICENSE NO
NUMB" TYPE OF FIXTURE OR ITEM PRE
WATER CLOSET (TOILET) e1 00 S
BATH TUB a $1 0o
SHOWER ® ei 00
LAVATORY (WASH BASIN) •I DO
KITCHEN BINK e 1 00
DISHWASHER a el o0
LAUNDRY TUB OR TRAY @ •100
CLOTHES WASHER @ $100
WATER HEATER Q $100
GAS SYSTEM ® f 1 o0
( APPROVALS
ATE IWITECTORS IGNATURE
JAND/OR
NDER SLAB WORK
PERMIT � 0 ROUGH PLUMBING
GASIPIPING
TOTAL FEEGAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THISN
ANO STATE THAT THE ABOVE IS CORRECT AND AGRELY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWSG PLUMBING FIXTURES
PLUMBING
IC HEREBY CERTIFY THAT PROPERLY RE STR GAS TEST
LICENSED A! REQUIRED SYOS ANGELES COU AOFCALIFORNIA OR THA 1 X T E LEGAL0EROVE UTILITY CO NOTIFIED
DESCRIBED RESIDlNTI PR RTY
SIGNATOR!
OF PERMITTEE FINAL
IF
JOHN A LAMBIE, COUNTY ENGINEER NIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
M8867r JUN 5 3 200 1D