HomeMy Public PortalAbout9228 BROADWAY_Plumbing__ 96A6i7 - CE817 5/70
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• APPLICATION FOR PLUMBING PER IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FAI''DRESS
JOHN A. LAMBIE. COUNTY ENGINEER DREASCOLEMAN W. JENKINS. SUPT. OF BUILDINGCALn7
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FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER z- .!/Y P ,.0/+'GEIS
WATER CLOSET 1. 0 A
2 BATH TUB 0 O ADDRESS 4ee 21j
SHOWER 1. 0 CITY TEL. NO.4 �,-' yy
LAVATORY do CONTRACTOR
SINK 1. 0 ADDRM&C, d-
DISHWASHER 1. a crry ogwwe .4 .;,* TEL. NO.A _6' 4eV
CLOTHES WASHER I. 0 LTATICENE LIC
SE NO., CLASS
SWIMMING POOL RECEPTOR 1. 0 DISTRICT NO. GOU➢ ZO PR 5 BY
LAWN SPRINKLER SYSTEM 2. 0 O � ! (moi
WATER HEATER - L 0 • INDUSTRIAL
WASTE APPROVAL O
GAS SYSTEM OUTLETS fO INSPECTIO RECORD XIOUTLETS OVER5 PER SYSTEM ��¢ � / O
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V
W
CL
to
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Plan check fee 250 of above. See reverse.
PLUMBING PERMIT ISSUING FEES 00
TOTAL FEE S
APPROVALS DATE I ECSOR'S SIG JATURE
Plan check applicant Z UNDER SLAB WORK 71
NROUGHPLUMBING n
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
NO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES _
ITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST ffl'7 LMSING.
HEREBY CERrIFY THAT I AM PROPERLY RE.N5ED ASREOUIREO BY LOS ANGELES COUNTYRNIA OR THAT I AM THE LEGAL OWNER OF.AND I HD TOIN.THE ABOVE DEfCRBED ESIDENTIALPROPS Rr . FINAL
L
TURE
:RMITTEE .JACK R. ALLEN, SUPERVISINGAL G'I�
- PERMIT VALIDATION CK.
M.O.OcAs I1{/1'UJI'1T
'HECK VALIDATION CK.1 M.O. CASH
2 7 1.5f= pti 6 5 0 2 5,05� 1
76A667-CE-817 6-65 - `CITY OF TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY ENGVISINEERBUILJ ] Q/
ING
JOHNDING AND A. LAMBIIES COUNTY AFETY ENGINEER OADDRESS �, D b'Zf4. � 6I
COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FI%TURF OR ITEM EACH FEE
OWNER > ,� L
WATER CLOSET 01.25
MAIL
BATH 7UH 1.25 ADD W .f � p�
SHOWER 1.25 CITY L'G/ TEL. NO.
LAVATORY 1.25 CONTRACT8R
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY ; TEL.
STATE q LIC
LAUNDRY TUB 1.25 LICENSE INC. / CLASS
CLOTHES WASHER 1.25 !!\\ DISTRICT NO. GROUP ZONE PR CESSED BY
WATER HEATER 1.50 V J.,O Y
GAS SYSTEM OUTLETS 1'50 INDUSTRIAL a
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORDOf
V
O
H
V
a
Z
APPROVALS DATE INSPECTORS SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK
�_� ROUGH PLUMBING
TOTAL FEE 3
GAS PIPING
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 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 TNAT I A TME AL OWNER OF.AND INTEND TO
RESIDE IN.THE ABOVE OE RIB RESIDENT/ L PRO ERTY.
p// UTILITY CO. NOTIFIED
SIGNATURE 'J�� n
OF PERMITTEE
FINAL L T Zl
VAIJE ATI
CK. M.O. CASH
LAUlo 1 5 �0^3 0 NOV 1 5 D 3.50-
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