HomeMy Public PortalAbout5448TEMPLE CITY BLVD_Plumbing 76 A 667 - CE 817 7.89
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APPLICATION FOR PLUMBING P�RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS
S
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING LOCALIT7
FOR APPLICANT TO FILL IN PR NT OR TYPE W * S
NaMBER FIXTURE OR ITEM EACH PEE
OWNLR r
WATER CLOSET 1 _
BATHTUB 4 1 10 ADD1)�8
SHOWER 1 0 / 7 CnT TEL NO
LAVATORY 1 0 �/ CONfRAClO1
SINK 1 0 /J ADDIS 9FS f F
DISHWASHER 1 0 C G c 1
CLOTHES WASHER 1 0 STATELIC
/O[/ �/� CLASS ` ,3
Y Y
SWIMMING POOL RECEPTOR 1 50 DIfLICENSE NO TRICi NO GROUP ZONE iBBED BY
LAWN SPRINKLER SYSTEM 00 _Z _/ � vJYLB�
WATER HEATER 50 WAS APPROVAL a
GAS SYSTEM OUTLETS 1150 ON RECORD 8
OUTLETS OVER 30 Z
5 PER SYSTEM O
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE S 00
TOTAL FEE
APPROVALS DATE m[PEcroR•EiDNwTUR[
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address OAS PIPING
City TeI NG GAS VENT
HOT WATER HEATER
1 H[ EE
R[DY ACKNOWLDGE THAT 1 HAVRRAD TNI[ A LICATION
AND STAT[ THAT TN[ MU[A 1[ CORRECT AND AOR[[ TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STAT[ LAWS WOULATINO GAB TEST
PLUMRINc
I H[RSBY ""I" THAT 1 AM RROR[RLY NEDIST[R[D AND/OR UTILITY CO NOTIFIED
LIC[NSEO AS R[ODIRM MY LOS ANGELES COUNTY AND STATE OF
CAYPORNIA OR THAT 1 AM THE LEGA, OWNER OR AND IM[ND TO
Ill[ID[ IN TH[AMv[O[[CRIe[O RESTOS MK FINAL
SIGNATURi JACK R. ALLEN, SUPERVISING ECHANICAL ENG R
OF P[RM ITTE Y' '
PERMIT VALH)ATTN CK OCASH
PLAN CHECK VALIDATION cN M o CASH
,2179= =31 s D 725