HomeMy Public PortalAbout9626 1/4 BROADWAY_Plumbing__ GA. APPLICATION FOR PLUMBING PERMIT 1
DBS IT BDIVISION OF BUILDING AND SAFETY
Department of County Engineer `
County of Los Angeles
WM. J. FOX. COUNTY ENGINEER BUILDING ADDRESS 96264 Broadway
CASSATT D. GRIFFIN, BUP'T of BUILOINO
LOCALITY Temple City
FOR APPLICANT TO FILL IN ,..SET. Temple City Blvd.
OWNER Peterson
DISTRICT NO. I GRQI ZONE I READY FON INSPECTION
MAIL /
ADDRESS s
INDUSTRIAL
CITY TEL. NO. WASTEAPPROVAL
PLUMBER Earl (Pat)Hoyt
Inc. INSPECTION RECORD
N
ADDRESS 2019 N. Hoyt P .0.408
CITY El Monte TEL, NO, GI 41559 T--I�—
LICENSE NO. 149236 Iu
NUMBER TYPE OF FIXTURE OR ITEM FEE
r1 Y
1 WATER CLOSET (TOILET) (�
BATH TUB ,SHOWER
LAVATORY
1 LAVATORY (WASH BASIN)
1 KITCHEN SINK 1.0
y DISHWASHER
A LAUNDRY TUB OR TRAY -
CLOTHES WASHER
TOTAL NO. O:Bo APPROVALS
GAS SYSTEM OUTLETS @ LOD 1.00 DATE INSPECTORS SIGNATURE
1 WATER HEATER (a 1.00 1 1.00 UNDER SLAB WORK
ROUGH PLUMBING
PERMIT S 1 0p 00
.00 GAS PIPING 1..— -
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION HOT.WATER HEATER �7
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST 7-
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR. THAT 1 AM THE LEGAL O NEE OF THE ABOVE UTILITY CO. NOTIFIED /
DESCRIBED RESIDUWL PROPERTY r/
SIGNATURE - /-
OF PERMIT FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION R.A.WOOD, CHIEF PLBG. INSPECTOR
a , '9 O 4S OCT 30 3 8.00 0