HomeMy Public PortalAbout5125 FARAGO AVE_Plumbing__ 76A667CE8I7 85 County of Temple City #452
f APPLICATION FOR '-PLUMBING PERMIT
COUNTY OF LOS ANGELES .rte 1
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING - Farago
CMOHN A LAMBIE County Eng�aeer
issArr D GRUIM sup t of Smldung LOCALITY Temple City, Calif.
FOR APPLICANT TO FILL IN NEAREST
NUMBER FIXTURE OR ITEM C Sa e 1
OWNER
WATER CLOSET r MAIL
1 BATH TUB ADDRESS
SHOWER CITY TEL NO
l LAVATORY CONTRACTOR Fontana Plumbing Contr.
1 SINK ADDRESS 13329 E. Ector St.
DISHWASHER cP1'Y of Industry TEL NO ED 77226
CONTRACTORS 96496 STATE
LAUNDRY TUB REGISTRATION NO COUNTY ❑
1 CLOTHES WASHER DISTRICT NO GROUP ZONE PR_Qrrp.SSED BY
WATER HEATER
] GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
f
i
APPROVALS
7 oR ER7.00s 7.0 0
DATE I P TOR S SIGNATURE
UNDER SLAB WORK ly,
PERMIT $ 2100 ROUGH PLUMBING 17 -I a-' /" -
TOTAL FEE ° GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER �9
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR .�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDE AL PROPERTY
s
SIGNATURE
OF PERMITT FINAL 11
ROBERT A WOOD
OF VALIDATION
SUPERVISING MECHANICAL ENG R
C 0.CK M O CASH
1 ' 91' AUG 11 5 A 900