HomeMy Public PortalAbout5849 TEMPLE CITY BLVD_Plumbing 78A687 ;'817 2.82 TEMPLCxc 1 CITY .
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY.ENGINEER
BUILDING AND SAFETY DIVISIONBUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN, SUP'T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER 5
WATER CLOSET 91.25
BATH TUB 1.25 EILIESs 64 AFALa-A 0`- _ ha
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR AA
SINK 1,25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. 7- �I 'Z--J COUNTY ❑
CLOTHES WASHER 1.25 D.ISTRIC N GROUP 1"E PRO S B
WATER HEATER 1.50 . — L//J
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
O
u
OC
O
Idd
d
� tI1
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ TX18 APPLICATION GAS VENT
AND STATE THAT THE ABOVE I9 CORRECT ANO AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY. LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
/—_V iLIDATION ROBERT A.WOOD t
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
LriUo 3 4 7 2 APRIL 7 5 0 3,5(1e:l