Loading...
HomeMy Public PortalAbout5821TEMPLE CITY BLVD_Plumbing FGA887 APPLICATION FOR PLUMBING PERMIT 1 795.17 IO-ss ffil i OF BUILDING AND SAFETY Deportment of County Engineer County of LOB Angeles BUILDING JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN I NEAREST CROSS ST. OWNER DISTR CT NO. GROUP ZONE READY FOR INSPECTION MAIL (r ADDRESS o INDUSTRIAL CITY TEL.NO. WASTEAPPROVAL!4j!!ja V PLUMBER SP CTION RECORD " ADDRESS w CITY LICENSE NO. NUMBER TYPE OF FIXTUREfOR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB. @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 D` APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ I 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS-CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REdUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL P:OP Y. SIGNATURE OF PERMITTE FINAL IOHN A.LAMBIE,COUNT ENGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR CK. N.0. CASH LIM00 5- 0 1 LA SEP 24 3 2.00 '�