HomeMy Public PortalAbout5460TEMPLE CITY BLVD_Plumbing (2) TtAGtT ICcnTI • +/75 ••
Ce
APPLICATIPLUf��
ON R NG PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
` MAKE CHECKS PAYABLE TO FADSS [/R/ I�.N Ci
HARVEY T. BRANDT, COUNTY E INEER ITY.
FOR APPLICANT TO FILL IN (PRINT 0 TYPEI ST ST UNUMBER FIXTURE OR ITEM FEEf20
LfJ./�
WATER CLOSET
MAIL
BATH TUB ADDRESS
SHOWER CITY � TEL NO
LAVATORY CONTRACTORSINK ADDRESS
DISHWASHER Z CITYTEL NO
CLOTHES WASHER 2 STATE LIC
SWIMMING POOL RECEPTOR Z
LICENSE NO 7 CLASS
DISTRICT NO GROUP ONE CE59 D BY
LAWN SPRINKLER SYSTEM Z ljWASL�57pI�L
WATER HEATER 0 IND F A.PAPROVAJL--
GAS SYSTEM OUTLETS 2 PO INSPECTION RECORD o
OUTLETS OVER 30 C�
5 PER SYSTEM
K
O
W
. d
h
Plan Check tee Set R"eme
PLUMBING PERMIT ISSUING FEE 8 3 tHOT
TOTAL FEE
APPROVALS GATE INvcttoR a SIGNATURE
Plan check applicant ER SLAB WORK '
Name GH PLUMBING
Address PIPING
City Tel NO VENT
WATER HEATER
I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICAND STATE "AT THE ABOVE 1S CORRECT AND AGREE TO COBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAW[ REGULATING
PLUM BI NO • GAS TEST
1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED AMD/OR UTILITY CO NOTIFIED Cf
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND S TC OP
CALIFORNIA OR THAT 1 TH[ OAL OWNER OF, AMO 1 T D i0
RESIDE IN TN[ABOVE D[ C IBE UI DENTIA OPERTY FINAL
SIGNATURE
OP PERMITTEE
PERMIT VALIDATION cK M CASH
PLAN CHECK V ATION CK M 0 CASH
n 2,3 9VJIL 3 5 0 4.7 5 A*