HomeMy Public PortalAbout6032 HART AVE_Plumbing__ .J
76A 667-C F0111 A-0-62
CITY OF TEMPLE CITY
APPLICATION FORPLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 6032 N. Hart st.
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
Temple City.
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. Garibaldi.
NUMBER FIXTURE OR ITEM EACH FEE OWNER Bringham. '
WATER CLOSET $1.25 2,50 MAIL
1 BATH TUB 1.25 1.25 ADDRESS
1 SHOWER 1.25 1.25 CITY TEL. NO.
3 LAVATORY 1.25 3.75 CONTRACTOR Joseph Cadilli Plm Co-.
1 SINK 1.25 1.25 ADDRESS 7821 E. Garvey Ave,.
DISHWASHER 1.25 CITY So. San Gabriel TEL- NO. AT 05349
LAUNDRY 'PUB 1.25 STATE
REGISTRATION NO. 134935 C 36 COUNTY El
1 CLOTHES WASHER 1.25 1.25 DISTRICT N GROUP ZONE PR SSED BY
1 WATER HEATER 1.50 1.50
1 5 1.50 .50 INDUSTRIAL
GAS SYSTEM OUTLETS WASTE APPROVAL d
OUTLETS OVER 5 PER SYSTEM .30 INSPECTIOt�N RECORD V
� a •r //p V
6u
APPROY INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER Sl'PiB WORK
ROUGH PLUMBING
TOTAL FEE 16.25 GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT.AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING • HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES y�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST ty
-/v
CALIFORNIA OR THAT 1 THE LEGAL OWNERO NO INTEND TO I1
e RESIDE IN, THE ABOVE CRIBED REST NTIA OP RTYJ1
. UTILITY CO. NOTIFIED ,
SIGNATURE l
OF PERMITTEE �.
FINAL
VALIDATION ROBERT A. WOOD
CK. M.O. - CASH SUPERVISING MECHANICAL ENG'R
e`ttiCo 5 2 8 1 ;i1!' 2 7 5 D 1 6.2 5 s',