HomeMy Public PortalAbout5616TEMPLE CITY BLVD_Plumbing i
City of Temple City
APPLICATION FOR PLUM *,,,'ESM '_
COUNTY OF LOS ANGELES !��l���
ARTMENT OF COUNTY ENGIIVEEEi
JO UI GFU Y OEONNLA NAU°o6 Temple City Blvd.
WILLIAM A JENSEN SUPT OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL. IN CNEAREST
ROSS BT Broadway
NUMBER FIXTURE OR ITEM EACH FEE
OWNER . Harry-Schwartz -
1 WATER CLOSET $125 MAM
BATH rUR 125 1.25 ADDRESS
SHOWER 115 CITY TEL NO
1 LAVATORY 1 2 1.25 CONTRACTOR Joseph Cadilli Plb . Co.
1 SINE las 1.25 ADDRESS
7821 E_ rarve-y Ave-
DISHWASHER 115 CITY S. San Gabriel TEL No AT-05349
LAUNDRY TOB 125 CONTRACTOR No 134935036 COUNTY WASHER 1'6 DISTRI NQ. GROUP ZONR P ESSED BY
WATER HEATER 150 [tj/ I C
OAS SYSTEM OUTLETS 1 so INDUSTRIAL
WASTE APPR VAL
OUTLETS OVER S PER SYSTEM so O'msPECnoI RECORD >
1 1. 0 3 u
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APPROVALS DATE INSF[CTOR S SIGNATURE
PERMIT 1 Z 2 OD UNDER SLAB WORK
ROUGH PLUMBING '
TOTAL FEE $ 0 GAS PIPING '` U
I HEREBY ACFNOWU[DO[ THAT I HAVE READ THIS APPLICATION GAB VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING
PLUMBING HOT WATER HEATER
I H[REEY CERTIFY THAT I AM PROPERLY REGISTERED AND/on PLUMBING FIXTURES J
LICENSED AS REQUIRED BY LOS ANGRIU COUNTY AND STAT[ OF GAS TEST
UYTORNIA OR TMAT I THE LEGAL OW
ATQR AND INTEND TO
wIGE
IN
rH[ABOVE RIB[D R[ I IA STY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL Mo
ATTON . ROBERT WOOD
CK M O CASH SUPERVISI G MECHANICAL ENG R
QTS 7 4.0—� DEC 21 5 D 8.50- a
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