HomeMy Public PortalAbout5027TEMPLE CITY BLVD_Plumbing (2) 7&%W-CCM7 B�
APPLICATION FOR PLUMBING PERMIT,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY pD�IV�ISSIION BUILDING
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CJ rr'D GHIPPRT, SRP d BmldmO
LOCA1 TTY
FOR APPLICANT TO FILL IN
CROSS ST
NUMBER FIXTURE OR ITEM OWNES
WATER CLOSES MAU
RATS TOB ADDRESS
Cm TEL NO.
SHOWER
LAVATORY CONTRACTOR k
sm ADDRESS
DISMASHER FT TE1. NO- -GUS-f�CONTRA 8 STATELAUNDRY TDB REGISTRATION NO / / v '-CLOTHES WAS DISTRICT NOGROUP ZONE
WATER BEATER
OAS BYSTBeS INDUSTRIAL
WASTE APPROVAL
INSPECTION BECORD
APPROVALS DATE INSPECTOR B SIGNATURE
PERMIT S E 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
OAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LAS ANGELES COUNTY AND STATE OF GAR TEST — �"'L I/
CALIFORNIA OR THAT 1 AN THE LE OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATUREi
OF PRRMITTR
FINAL
®F o;qAIMATION ROBERT A WOOD,
GE M G �Ap SUPERVISING MECHANICAL ENO R
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