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
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Lu
64h A G Z
I _
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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