HomeMy Public PortalAbout5032TEMPLE CITY BLVD_Plumbing (2) T°" 17"soiOxoPPLICIrA�TIOsNEFOR PLUMBING PERMITDr, 1
Dopartment of County EnBfna
County of Los Angdoe BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS C/
CASSATT D GRIFFIN,SUP T OP BUILDING
LOCALI
FOR "PUCANT40 FILL IN NEARSS STEST
C
OWNER DISTRICT NO GROUPI ZONE I READY FOR INSPECTION
MAIL
RCE
ADDR
INDUSTRIAL
CITY Tfi N !vC WASTE APPROVAL
PLUMBER &L INSPECTION RECORD
ADDRESS
CI 11 p TEL NO
LICENSE NO 8
NUMBER TYPE OF FIXTURE OR ITEK FEE
WATER CLOSET (TOILET) S7 00 S
BATH TUB 1 00
SHOWER Q sl 00
LAVATORY (WASH BASIN) 2 711 00
KITCHEN SINK @ $100
DISHWASHER @ 81 00
LAUNDRY TUBORTRAY Q 6100
CLOTHES WASHER Q S7 00
WATER HEATER 1100 Q
GAS SYSTEM 5100
APPROVALS
DATE INSPEROR S SIGNATURE
UNDER SLAB WORK
PERMIT s 00 ROUGH PLUMBING
_GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THISAPPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AN PROPERLY R STERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES CO AND STATE OF
CALIFORNIA OR THAT ER F T ABOVE UTILITY CO NOTIFIED
DESCRIBED RESI DEN AL TY
SIGNATURE
OF PERM ITTE FINAL '1�- O
JOHN A LAMBIE COUNTY ENGINEER /VALIDATION ROBERT A WOOD CHIEF PLBG INBPECTOR
y L&J. 892n?Am 28 5 A 3.00 �!