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HomeMy Public PortalAbout5849TEMPLE 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