HomeMy Public PortalAbout5138TEMPLE CITY BLVD_Plumbing T[AEET •C[[[n 13-[t '-� &APPLICATION FOR PLUMBINAMRMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BU
JOJMG ANDE,4AFETY FMSION aunnixc L
JO L-AMBI COUNTY N6INEER ADDRESS D
COLEMAN W lEN KINE, SIIP•T OF BUILDI ND LOCALITY uC
FOR APPLICANT TO FIIS IN �T a
NUMBER FIXTURE OR ITEM EACH FEE OWNER O �$
WATER CLOSET 81 25 _ _ _ _
BATH TOS 115 - - DRESS- —
SHOWER 115 CITY_r (R TEL NO (.y-r �9
LAVATORY 175 CONTRACTOR f F T
BENZ 175 ADDRESS 10,97-o
DISHWASHER 175 CITY'}' TEL No y Q Z`�(�'�
LAUNDRY TDR 125 REGreSTRAnoN NO L 1 COUNTTYY B
CLOTHES WASHER 175 DISTRICT NO GROUP E PR EMBED BY
WATER HEATER 15o ( ,S p
EAS sYs7EM OOTLE[S I wWSTRIAL
ASTZPAP OVAL IL
OUTLETS OVER s PER SYSTEM m / WSPECTIOL CORD 0
! r3
W
6
N
Z
APPROVAL$ DATE INSPECTOR SZICNATURI[
PERMIT f ]�AM
O UNDER SLAB WORK
0 ROUGH PLUMBING 1
TOTAL FEEGAS PIPING / I
1 N[Rur ACKNOWIIDO[ THAT I HAV[ RUD THISN GAS VENT
AND [TAT[ THAT THE ABOVE I[ CORRECT AND AOR[ LY
WITH ALL COUNTY ORDIMANC[1 AND ETAM LAW[ NC HOT WATER HEATER
PLu MEINa N
1 N[RERY CIITPY THAT I AM PROP[RLY R[a1ETOR PLUMBING FIXTURES
LIC[NHD A[ REQUIRED OY LOS ANO[L[E COUNTY AOP GAS TESTCALIFORNIA OR THAT I AM TN[ L[OAL OWNER OPATOREEID[ IN TH[AEOY[DXACRIE[D R[[ID[NTUL PROPMUTILITY CO NOTIFIED
SIGNATURE - �,
OF PERMITTEE FINAL
MMATION ROBERT A WOOD
CK o cAEN SUPERVISING MECHANICAL ENG R
S __ 8 3 6 2V. DEC28 = 5 D 350- Q