Loading...
HomeMy Public PortalAbout5910TEMPLE CITY BLVD_Plumbing a 76AG67 (CE-817)- 5/73c2 6, APPLICATIO OR PLU BIN,G PERMIT • COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION _ MAKE CHECKS PAYABLE TO: FBUILDING jHARVEY T. BRANDT, COUNTY ENGINEERTYFOR APPLICANT TO FILL IN (PRINT OR TYPE) TST. NUMBER FIXTURE OR ITEM @- FEE WATER CLOSET 1,75 OWNER �J MAIL < BATH TUB 1.75 ADDRESS Q SHOWER 1.75 CITY +(� TEL. NO. LAVATORY 1.75 CONTRACTOR SINK 1.75 ADDRESS 5 d AAA DISHWASHER' 1.75 CITY� � �/ TEL. NO.. CLOTHES WASHER 1.75 STATELIC J SWIMMING POOL RECEPTOR 1.75 LICENSE NO. ZOOZ Q CLASS DIS T_Fjje�O� C'RO�I P ZONE CESSE BY LAWN SPRINKLER SYSTEM 1.75 �`QQJJ�_ CC((�+//(( /j�Z �r/!.ty�/�s J' WATER HEATER 1.75 WASTE APPROVAL y: GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD CD O OUTLETS OVER v 5 PER SYSTEM .30 C� O Lu a z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING - -2 - 62 Address < GAS PIPINGf GAS VENT _ City L — Tel. No.z" G HOT WATER HEATER �2-1� �� I HEREBY ACKNOWLEDGE THA I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES' Z• � WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST ✓ r Sr , p a I HEREBY CERTIFY THAT ROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED r LICENSED AS RECUIRED'B L GELES COUNTY AND STATE OF CALIFORNIA OR THmm�� TO RESIDE IN THE ABOVp q .. FINAL SI GNATLI RE OF PERM ITT E PERMIT VALIDATION CK. )0. CASH PLAN CHECK VALIDATION CK. M.O. CASH 9 6 2NFEB �6 5 u 1 8.7 5 �",b . -J