HomeMy Public PortalAbout5807TEMPLE CITY BLVD_Plumbing (2) to-az /17
APPLICATION F R PLUMBI G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING —g
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS v
WILLIAM A.JENSEN,SUP'T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITYSh
TEL. NO.
LAVATORY 1.25
CONTRACT
SINS 1.25 ADDRESS3,7 r
DISHWASHER 1.25 CITY TEL. NO
REGISTRATION NO. �19 , P/ STATE
LAUNDRY TUB 1.25 � COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P SED BY
WATER HEATER 1.50 { G
GAS SYSTEM OUTLETS 1.50 C) INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD
a
i APPROVALS DA,[E INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK „J All
ROUGH PLUMBING Av�
TOTAL FEE GAS PIPING a
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT 1
AND STATE THAT THE ABOVE IB 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 LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA O THAT 1 AM THE LEGAL OWNER Of'.AN INTEND TO /1
RESIDE IN;TN 'A OVE'DE8CRIBED RES NTIAL P PE Y. UTILITY CO.NOTIFIED
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SIGNATURE
OFPERMITT FINAL V 0-R'u
LIDATION' ROBERT A.WOOD
GK.
M.0. CASH SUPERVISING MECHANICAL ENG'R