Loading...
HomeMy Public PortalAbout5817TEMPLE CITY BLVD_Plumbing (2) 76A887.CE11817 4-64. APPLICATION 'F'O'R PLUMBING PERMIT COUNTY OF LOS ANGELES. DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY .DMSION BVILDING /�s.��-s /� Q JOHN A. LAMBIE, COUT NY ENGINEER ADDRESS WILL A.JENSEN,SuP?T OF BUILDING ;LOCALITY �yls FOR APPLICANT TO FILL IN CSOASS ST. NUMBER FII(TURE OR,ITEM EACH FEE w/. �� C^. OWNER rs WATER CLOSET 51.25 SO MAIL BATH TUB 1.25 - ADDRESS CITY T.A. NO. SHOWER 125. LAVATORY 1:55 O2 g CONTRACTOR 04A RM) PAP 01 A I PY/9 SINK 1:25 ADDRESS20 WNITTrIrk ,A V16 DISHWASHER 1.25 CITYft A Wiew BENO. LAUNDRY TUB 1:25 CONTRACTOR' G STBATION NO. STATE O COUNTY CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PRCCESOED BY WATER HEATER 1.50 . Z. -GAS SYSTEM—OUTLETS- 1'� WASTE APAPPROV,AL � OUTLETS OVER 5 PER SYSTEM .80 � PECTION RECORD � / V :!>r rte✓ O Lu 64h A G Z I _ r APPROVALS PATF INSPECTOR'S•SIGNA U PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING A TOTAL FEE GA$.PIPING i F'I41(v /,/ V" �'ry I HEREBY ACKNOWLEDGE THAT 1 HAVE' READ THI APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY GI ASVENT .� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING .� PLuMB1NG. HOT WATER HEATER . 1 HEREBY 'CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING.FIXTURES LICENSED AS REQUIRED BY LOB ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT A AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN,THE ABOVE D RESIDENTIAL,PROPERTY. UTILITY.CO.NOTIFIED SIGNATURE OF PERMITTEE FINAL ,y nrt ATION ROBERT A.WOOD r W CK. M..O. CASH SUPERVISING MECHANICAL EN.WR L: ,Uo5 4 7 3160" KIR 11 5 D 1 1..25N