HomeMy Public PortalAbout5807TEMPLE CITY BLVD_Plumbing 0.82
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APPLICATION OR PLUMB G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER �(
BUZDING AND SAFETY DIVISION BUILDING
ADDRESS O
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST./
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
r WATER CLOSET $1.25
MAIL
BATH TUB 1.25 ADDRESS
j SHOWER 1.25 CITY TEL. NO..-
LAVATORY 1.25 CONTRA
SINS 1.25 ADDRES5 7 P 7
DISHWASHER 1.25 CITY TEL. NO
LAUNDRY TUB 1.25 CONTRACTOR'S ' 9 197
7 /k/ COSTATEU ❑
REGISTRATION NO. / 8
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROC SEED BY
WATER HEATER 1.50 — Z c, 2
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD
6J
H
5 APP OVAL DATE INSPECTOR'S SI'GNATUR
PERMIT $ 2 00 UNDER SL44B WORK
ROUGH PLUMBING
TOTAL FEE
�� GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY L09 ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,-AND INTEND TO
RESIDE IN,TH BOVE DESCRIBED RESIDENT/ PROPERTY UTILITY CO.NOTIFIED
SIGNATURE T 1
OF PERMIT
FINAL Q ZG"
//��R/�ftLLIDATION ROBERT A. WOOD
CASH SUPERVISING MECHANICAL ENG'R
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