HomeMy Public PortalAbout5127 FARAGO AVE_Plumbing__ 76A667CE817 858 County of Temple City #sk 452
COUNTFOR PLUMBING PERMIT
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DEPARTMENT OF COUNTY ENGINEER BIIILDIIIG rag
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE CountF Engmeer
CASSATT D GRI17IN Supt of Building LocA= Temple City, Calif.
FOR APPLICANT TO FILL IN NEAREST r
CRO33 ST
NUMBER FIXTURE OR ITEM OWNER C . Sachelll
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITY TEL NO
LAVATORY CONTRACTOR Fontana Plumbing Contr.
] SINS ADDRESS 13329 r.. E c t o r St
DISHWASHER CITY of Industry TEL No ED 77226
CONTRACTOR S STATE
LAUNDRY TUB REGISTRATION NO 96496 COUNTY ❑
1 CLOTHES WASHER DISTRICT O G OU Z NE I PROCESSED BY
WATER HEATER
GAS SYSTEM , INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD pp
v
APPROVALS
7 @ OR PFEr ITEM $ 7.oo
DATE f SPE OR S SIGNATURE
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UNDER SLAB WORK .p�'
PERMIT $ 2100 ROUGH PLUMBING O A
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES / r
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDEN L PROPERTY
SIGNATURE • FINAL
OFPERMiTTE -
ROBERT A WOOD
®� VALIDATION SUPERVISING MECHANICAL ENG R
CK N O CASH
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