HomeMy Public PortalAbout5819-5819 1/2TEMPLE CITY BLVD_Plumbing S-17�;o.ss
OBAPPLICATION FOR PLUMBING PERMIT .1
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DMSION OF BUILDING AND SAFETY
DepoA out of County Engineer
County of Los Angeles BUILDING
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS �7 O
CASSATT D.GRIFFINS SUPT OF BUILDING
LOCALIT
FOR APPLICANT :TO FILL IN NEAREST
CROSS ST.
OWNER DISTRIC� � GROUP I ZONE I READY FOR INSPECTION
MAIL \ C. 2
ADDRESS
INDUSTRIAL
CITY TEL. O. WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS I-
D
CITY o TEL.N0. Irl T alar / �_a% ZO
LICENSE NO. 7,I Y 3 7— ` ��� �` C3Ibv'%
NUMBER TYPE OF FIXTURE OR ITEM gFEE _ ��/'1� czkamra A) �.
WATER CLOSET (TOILET) @ $1.00 $ 00 —L- c� l :a�•-
HATH TUB @ $1.00 v.. V som& UN
/ SHOWER @ $1.00 f DD
�D fill
Or LAVATORY (WASH BASIN) @ $1.00 21 00
KITCHEN SINK @ $1.00 '
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00 OD
GAS SYS[EM @ $1.00 0 0
/ .o.03 08
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK I'� 4'Z
i
PERMIT $ 1 00 ROUGH PLUMBING 1b �.-�
G'/4S PIPING ll
TOTAL FEE 00 GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION s
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE 'LEGAL OWNS OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE FINAL d
IOHN A.LAMBIE..COUNTY ENGINEER ALIDATION ROBERT A.WOOD. CHIEF PLBG. INSPECTOR
es. m.D. CASH
s23 sEP17 3 1 1 .40