HomeMy Public PortalAbout5837-5839TEMPLE CITY BLVD_Plumbing 76A667-CE617 12/59. TEA.PLE CRTY
APPLICATION FOR PLUMBING .PERMIT �
COUNTY OF LOS ANGELES.
DEPARTNENT OF COUNTY ENGINEER r..... .
BBUILDING g�
JOHN A. LP1M67E, COUNTYNGINEER ADDRESS X70 J/V C/,r �
WILLIAM A..JENSEN,SUPT OF BUILDING �p' ,y�
LOCALITY
FOR APPLICANT TO FILL IM NEAREST s
/
CROSS ST. 6 ✓f9-
NUMBER FIXTURE'OR ITEM
OWNER Ao R
WATER CLOSET SIL
BATH TUB ADDRESS
CITY TEL.NO.
SHOWER p9
LAVATORY CONTRACTOR �/ �,�1�L.� Af
Sm ADDRESS 17,010 N,
DISHWASHER CTrY �U�Q�/WIC, TEL. NO.
4 CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. ZS3 COUNTY -I]
CLOTHES WASSER if DISTRICT NO. GROUP LL ZONE P0065SSED BY
WATER HEATER A.
GAS SYSTEM �; INDUSTRIAL
r WASTE APPROVAL .
w s4-ra tL .ra 4,o t Aek7 q� //DIRPECTION RECORD
0
4;
81.00 PER ITEM s
OR ZrIIL7U88 APPROVALS PATE INSPECTORS SIGNATURE
PERMIT $ 2 00".' UNDER SLAB WORK II.xr /71 1116A'7,.
.
1-1
TOTAL FEE ROUGH PLUMBING
.GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ. THIS APPLICATION GAS VENT v
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE .LAWS REGULATING
PLUMBING. HOT WATER HEATER
i_-.
I HEREBY CERTIFY THAT I AM'PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES .COUNTY AND STATE OF. GAS TEST.
CALIFORNIA. •OR THAT '1 AM' THE LEGAL OWNER OF THE ABOVE
DESCRIBED. RESID N�FOPRBTY. 4 UTILITY CO.NOTIFIE
SIGNATURE �` 6 1!,(k� - /
OF PERMITTE FINAL
®� YA=A-TION ROBERT A W OD,
CIc.. . M.O! - iMo[ .SUPERVI$1NG MECHANICAL ENG'R
k;
- ,ra P. 7,-2 4 0c 19 5 D 9.00 A