HomeMy Public PortalAbout5430TEMPLE CITY BLVD_Plumbing ]SAS6] CL•B'_ RBAPPLICATION FOR PLUMB NSC; AERMIT4
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION lDQ.DOIO G O %1
JOHN A LAMBIE COUNTY ENGINEER ADD
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY L L7
FOR APPLICANT TO FBS IN ANEAOSS REST
NUMBER FIXTURE OR ITEM EACH FEE OwlS� �J
WATER CLOSET $1 75 C
LATH TUB 175 /
SHOWER 175 CITY
LAVATORY 175 CONTRA
8DQ 175 ADDRESS
DISHWASHER 175 CITT O
LAUNDRY TUB 175 STATE // LIC
LICENSE NO �� CO CLASS
CLOTHES WASHER 115 0 DISTRICT NO GROUP NE PFtq I 09ESSED BY
WATER HEATER 150 p -!
GAS SYSTEM OUTLETS 150 WU'ID118TES MPROVAL
OUTLETS VER 5 PER 70 INSPECTION RECORD U
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z
�S �Z
n
AP LS #DATE INSPECT R e SIGN
PERMIT jlAW
UNDER WORK ID L•(/ w
ROUGH PLUMBING
TOTAL FEEGAS PIPING —
I HERESY ACKNOWLEDGE THAT I HAVE READ TTION GASVENT
ANO STATE THAT THE ABOVE I[ CORRECT AND AOPLY
WITH ALL COUNTY ORDINANCES AND STATE LATIHO
PLUMB INc HOT WATER HEATER
I N[I®V CERT Fl THAT I AM PROPERLY REGIOR PLUMBING FIXTURES
LICENSEES AE REQUIRED MY LOS ANGELES COUNTY OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER O TO
RESIO[ IN THE ABOVE DESCRIBED RESIDENT UTILITY CO NOTIFIED _
SIGNATURE 41if 0(4
OF PERM I FINAL
ATION
CN M O CASA
LAC0 8 6 0 0 Z2 JAN 6 5 0 4.75- U
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