HomeMy Public PortalAbout5708TEMPLE CITY BLVD_Plumbing *6A"7.CE,GI7 5/63
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUI�DINC� IND SAFETY ENGINEER AIDDR� $ 7 0 TL�M/JLE G!ISTATE
JO N A MBIE COUNTY NOI NEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY pC 1 T
FOR APPLICANT TO FILL IN CROSSI T y^
NUMBER FIXTURE OR ITEM EACH FEE I OWNER 0,6 AC 1�p k
WATER CLOSET 9125 MAIL. G
HATH TUB 1 7s ADDRE88 Q 8 I L g 5
RHov1� 1 2t CRY rZ-M P L$ G/P TEL NO
LAVATORY 125 CONTRACTOR CAL) F0 RN/A SDi[ 175 IADDHF98 6 0 ELIQs DISHWASHER 125 C� SA`N G.4BkI&L TEL NO LAUNDRT TDR 1ZS CONTRACTOR 0 REGISTRATION NO �p� 0 Z
CLOTHES WASHER 175 V_DISTRICT
V. JAT
WATERHEATER 150 . INO
eD
GAS SYSTEM OUTLETS
1
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .70 DISPECTION RECORD l./
0
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APPROVALS AT INSPECTOR tSUIII41&fIRL
PERMIT E 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 H[R[OY ACFMOWL[OG[ THAT I HAVE READ IMI[ APPLIGTION GAS VENT !
ANO STAT[ THAT THE ABOVE I[ CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING , / 1
PLUMBING HOT WATER HEATER ! 1
1 HERmY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LIC¢NSED At REQUIRED BY LOS ANGELA COUNTY AND STATE OF GAS TEST f ��
GU FORNIA OR THAT I AM THE LEGAL OWH[M OF AND INTEND TO
R[Sm[ IM T1¢ O[SCRIBED M[SID[NTIAL PROPERTY UTILITY CO NOTIFIED / V
BIGNATURe 1 I /
OF PERMITTIEA
FINAL
VALIDATION ROBERT A/WOOD
f cK'S M O CABN SUPERVISING MECHANICAL ENG R '
6381Z AAA 23 5 D 4.00"
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