HomeMy Public PortalAbout5733-5735TEMPLE CITY BLVD_Plumbing 76 A 667- CE 817 7-69 �E:�
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APPLICATION. FOR°; PLUMBING PERMIT
.COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER SIIILDZN
BUILDING AND SAFETY DIVISION ADD Temple Cit Blvd.
JOHN A. LAMBIE,. COUNTY ENGINEER
COLEMAN W. JENKINS. SUP'T.: 01! BUILDING LOCALITY
TgIftla
FOR APPLICANT TO FILL IN' PR'NT OR TYPE NEAREST"
CROSS ST.. lave 083fic
NUMBER FIXTURE'OR ITEM EArH FEE OWNRB'
WATER CLOSET 1.50 Sam D,..Dl 1.001vnnO
MAIL
BATH TUB 1.50 ADDRESS` Same
SHOWER 1,.50 clnTem le City TEL.NO. "5-3?W
LAVATORY 1:50 CONTRACTOR' .Pacific-Installers
SINK, 1.50 JIDDRSSS 30920 E. 'GrandA Ave.,
DISHWASHER 1.50 crTy Temple Ckti TEL.NO. "W-1070
CLOTHES WASHER 50 STATE p LIC
1.
LICENSE-NO. 211898 CLASS C-20
SWIMMING POOL RECEPTOR 1.50' DISTRICT NO. GROUP ZONE PROCEB$ED BY
LAWN SPRINKLER SYSTEM' 2.00 i {{
WATER HEATER 1.50 INDUSTRIAL ,
WASTE APPROVAL-
GAS SYSTEM OUTLETS 1.5.0 INSPECTION RECORD u
OUTLETSOVER
5 PER SYSTEM .30' Z.
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U)
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Plam check.fee 25%of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 1.00
- •K
TOTAL FEE 340 APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant. UNDER SLAB WORK.
Naine ROUGH PLUMBING
Address GAS F.IPING
GAS VENT
City. Tel. Nb: HOT WATER HEATER
1 HEREBY ACkNOWLEDGE,THAT I NAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE- IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH AU- COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY-.CO.NOTIFIED _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF i
CALIFORNIA OR-THAT I AM THE LEGAL OWNER OF,AND INTEND TO �y
RESIDE IN,.THE ABOVE DES/CRg/y0.RESIDENTIAL PROPERTY. FINIAL V .
SIGNATURE / '1• JACK R. ALLEN, SU'RERVISI ANICAL.ENG''R. e�
OF PERMITTEE l•C� 1,
PERMIT VALIDATION C M.O. CASH
PLAN CHECK VALIDATION CK. M.0. CASH -
_ I- r4 2.3 59 x'26 •n ..3.50 . ;