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HomeMy Public PortalAbout5428TEMPLE CITY BLVD_Plumbing (2) 76AG67aCES17 R 9 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A LAMBIE COUNTY ENGINEER AD I CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST ST NUMBER FIXTURE OR ITEM OWNEH WATER CLOSET ADD E58 I - BATH TUB q SHOWER CITY • TEL NO ". g�/�J LAVATORY CO OH a41 SINE ADDRESS DISHWASHER CRY TEL NO d�'s LARRY TUB CO R'S STATE LJ REG N N OUNTT CLOTHES WASHER DISTRICT yD. GRO NE Ruor FOR IRSP[CTIon WATER HEATER •i GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS ® t1 DD PER REM DATE INSPECTOR S SIGNATURE OR FIXTURE R UNDER SLAB WORK PERMIT I 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY OS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I T E LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL foP SIGNATURE OF PERMITTEE FINAL ROBERT A WO U VALIDATION SUPERVISING MECHANICAL ENG R CF • 0 LG090OM MAY 15 3 A 2.00 SR .r