HomeMy Public PortalAbout5520TEMPLE CITY BLVD_Plumbing (2) >EAEBT -cuEt> 12-64 c.1ty of Temple City B 1358
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
G D BUILDINGL SAFETY @MSION ADn�aB 5 T e C B
JO A M IE COUNTY NGINQQR
COLEMAN IS JENKINS SUPT OF BDILDI.. LOCALITY
FOR APPLICANT TO FILL IN NE&RESTCROSS T
NUMBER FIXTURE OR ITEM EACH FEH OWNER
D- A- T4Afngr
WATER CLOSET Ill
MAIL
BATH TDB 125 ADDRESS Same
SHOWER1 zs CITY TEL NO
LAVATORY 125 CONTRACTOR General Installation Co.
Sm 125 ADDRESS 6558 West Blvd.
DISHWASHER I is CrIT Los Angeles TEL ND PL 3-25 1
LAUNDRY 717E 117
REGISTRATION xo C-36 151839_ 987COTUNTYY
CLOTHES WASHEH 125 DISTRICT NO GROUP /7, MH PR EBBED BY
WATER HEATER 150 009 1 X/
GAS SYSTEM OUTLETS ISO INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER S PER SYSTEM ]0 ]INSPECTION RECORD V
Reay for nspeot on ov m
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APPROVALS DATE-\ INSPECTOR 5SIGNATURE
PERMIT s 2 00 UNDER SLAB WORK 1
ROUGH PLUMBING /
TOTAL FEE GAS PIPING
I MENET ACKNOW"DGX THAT 1 HAVE READ THIS AFFLICTION GAS VENT /
AN STAT[ THAT THE ABOVE IS COKS(LT AND AGREE TO COMPLY
WITH ALL COUNTY OROINAMW AND STATE LAWS WGULATIMO
PLUMBING HOT WATER HEATER l
I HEREBY CERA FY THAT I AM PROPERLY REGISTERED ANWOR PLUMBING FIXTURES
LICEMQD AS REQUIRED EY LOS ANGELES COUNTY AMD STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO 1
RESIDE IN THE ABOVE DEECRUSKO REEID wyBEOP UTILITY CO NOTIFIED `
SIGNATURE (�f(�
OF PERMITTER_
FINAL
MMATRON ROBERT A WOOD
cK o CAW SUPERVISING MECHANICAL ENG R
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