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HomeMy Public PortalAbout5318TEMPLE CITY BLVD_Plumbing II 76A§87 ICE-817)-4/72 APPLICATION FOR tPLUUMBYNGcPERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISIONfAADD BUILDING MAKE CHECKS PAYABLE TO DI DC HARVEY T BRANDT. COUNTY ENGINEEALITY FOR APPLICANT TO FILL IN (PRINT OR WPEIREST SS ST NUMBER FIXTURE OR ITEM ® FE ER -- -WATER CLOSET==--- -- Al- BATH - - -- — - -- _ -_ - L TUB RESS SHOWER 1 75 TEL NO 74 LAVATORY 1_74 CONTRACTOR SINK 1 75 ADDRESS /7 DISHWASHER 1 75 CITY TEL NO CLOTHES WASHER 1 75 STATE ``�� � LIC SWIMMING POOL RECEPTOR 1 75 LICENSE NO "goy CLASS DIST�LCT NO GROUP NE CESS E BY LAWN SPRINKLER SYSTEM 1 75 DUSTSgI LOC WATER HEATER _ _ _ 1 75 �ypSTE APAF'ROVOAL •l_ 1 - - �- GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD V OUTLETS OVER 30 5 PER SYSTEM j CD CWl Plan check fee See ReV.,.e PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE Q Q APPROVALS GATE INSPECTOR a SIGNATURE Plan check applicant UNDER SLAB WORK _ Y Name ROUGH PLUMBING Address GAS PIPING City Tel NO GAS VENT /% HOT WATER HEATER 1 HIRCeY THAT TH ABO THAT HAVE READ THIS APPLICATION AND STATE COUNTY TXE DINAN IS CORRECT AND LAWS E COMELY PLUMBING FIXTURES WITH ALL COUNTY ORDINAN AND STATE LAWS REGULATING PLUMBING GAS TEST ' HCRCSY CERTIFY TH T I A PROPERLY REGIS E 0 AHD/OR UTILITY CO NOTIFIED V LICENSEDAS REQUIRED LOS NOELES COUNTY STAT[ 0 CALIFORNIA OR THAT I A THE EOAL OW XER QF A INTEND RESIDE IN THE AOOV RI CSI L PR TY FINAL SIGNATURE OF PERMITT E PERMIT VALIDATI CN M 0 CASH PLAN CHECK VAL ION c M D CASH , 336VJUL 9 5 0 ^ 11.0O � d