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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 0 W d N I Z I 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 LAC07670ig -NW30 5 D 3.50 a