HomeMy Public PortalAbout5818-5818 1/2TEMPLE CITY BLVD_Plumbing 76AG67-CERS17 9/89 - •, `�i/•f����
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION suu.Dlrlc
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS 818 Te le City Blvd.
WILLIAM A.JENSEN,SUPT OF BUILDING
LOCALITY Temple. City
FOR APPLICANT TO FILL IN -CROSS TST. Tbiq Turioa & Rosemead d
NUMBER FIXTURE OR'ITEM EACH FEE
OWNER Lloyd A. Valters
WATER CLOSET 5125
BATH TUB 1.25 AADDDRESS game
SHOWER 1.15 CITY TEL.NO.
LAVATORY 1.25 CONTRACTOR General Installation .Co.
SINK 1.25. ADDRESS 6558 West Blvd.
DISHWASHER 1.25 CITY Los Angeles TEL. NO. 111. 34541
LAUNDRY TUB• 1.25 REGISTRATION ON NO. C-36 151839 787 COTATE
UNTY
CLOTHES WASHER 1.25 DISTRICT NQ. _ 6 OU ZONE P GESSED BY
], WATER HEATER 1.50 1 50j�
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL. a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
WATER SOFTENERheady for Inspection Now O
t-
3 W
57 u
.,r,:! .�G t
I ° H
.156I
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 OO UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING .�
I HEREBY ACKNOWLEDGE THAT 1 NAVE READ THIS APPLICATION GAS VENT' �-AND STATE STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY )
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED' AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF..AND INTEND TO GAS TEST'
RESIDE IN;THE ABOVE DESCRIBED RESIDEN P PE V
UTILITY CO.NOTIFIED
SIGNATURE •
OF PERMITTEE FINAL
/.YALIDATION ROBERT A.WOOD
M.0. CASH SUPERVISING MECHANICAL ENG'R
U" 117.55 5 O�
JAN l�' 5 D 3.5 ON
1.