HomeMy Public PortalAbout5636TEMPLE CITY BLVD_Plumbing 76A667t E.e17 2-66 P15600 CITY OF TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 7AD=DRESSq;4mf-
SHOWn
JOHN A LAMBIE COUNTY ENGINEER 1 d.
COLEMAN W JENKINS SUPT OF BUILDING
FOR APPLICANT TO FILL. IN
Temple C;Ltv
Broadway
NUMBER FIXTURE OR ITEM EACH FEE
DINNER
WATER CLOSET 11 23
BATH TUB 125
SHOWn I75 CITY TEL NO
LAVATORY 125 CONTRACTOR General Installation Co.
sum its ADDRESS 6588 West Blvd.
DISHWASHER 1115 CITY Los Angeles TEL NO PL 5-2541
LAUNDRY TDR 175 STATE LICENSE NO C-38 151859_ CLASS
CLOTHES WARNER 175 DISTRICT NO G7 1{S P [ S
1 WATER HEATER 1 50 50 JjAa I
GAS SYSTEM OOTI.LTB 1 so
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 00 [NSPECTION RECORD
MATXR SOFTER Ready for Inspection Now
W
d
N
2
APPROVALS DATE INSPECTOR fSIGNATURE
PERMIT S 2 DO UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 3 50 GAS PIPING
1 MERMY ACKNOWLEDGE THAT 1 HAY[ READ THIS APPLIGTION GAS VENT
ANO STATE THAT THE AGOV[ If CORRECT AND AORES TO COMPLY
WITH ALL COUNTY OROINARC[f AND RATE LAW/ R[OUTATINO
PLUMB
ING HOT WATER HEATER
I HERESY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LIC[Nt[O AS
REQUIRED BY LOG AMD[L[f COUNTY AND STAT[ OP GAS TEST
C UFp1M IA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED R[f IO}BJIAL.P Y UTILITY CO NOTIFIED
SIGNATURE /V[O//(ter//J
OF PERMITTEE FINAL
(�IjALIDATTON JACK R. ALLEN
CK H D CASH SUPERVISING MECHANICAL ENG'R
f6;cl 6 1 8FZ NOV 8 5 0 3.50~ M.