HomeMy Public PortalAbout9658 LONGDEN AVE_Plumbing__ '76A661-CE*8l11 5,63 - 'CITY OF TEMPLE CITY. -
APPLICATION FOR-:P:LUME:ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY:ENGINEER
BUILDING AND SAFETY DIVISION BUILDING p
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 9658 E. LO den
WILLIAM A.JENS.EN,SUPT OF BUILDING
LOCALITY Temple Cit
FOR.APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE -
OWNER
WATER CLOSET $1.25 2 50 MAIL iirs
lie
BATH TUB 1.25 1 25• ,.ADDRESS 5926 Temple City Blvd:
7 ciTY"
Temple e Ci .N
City TEL. O. kT Y-57914
1 SHOWER 1.25 : 1 �5
2 ILAVATORY 1,252 CONTRACTOR PlumbingCo.
], SINK 1.25 1 25 ADDiIESS• 11900 E. Garvey Ave.UI 89836
'
DISHWASHER 1.25 x.CS7 E1 Monte TEL. NO.
CONTRACTOR'S STATE
LAUNDRY TUB 1.25 REGISTRATION NO. 179568 COUNTY p
CLOTHES WASHER 1.25
1 � 1 DIST! NO: GROUP ZONE P EBBED BY
WATER HEATER .1.50.• 1 _ qt }
GAS SYSTEM .OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL D'
AL 0
OUTLETS OVER 5 PER SYSTEM .80 INSPECTION RECORD
D:
0
%2 /r-G W
_ APPROVALS ATE INS CT GNATURE
;PERMIT $ JAA
0 UNDER SLAB WORK ...Z
ROUGH`P.LUMBIN.G ,6
TOTAL FEEGAS PIPING
1 HEREBY ACKNOWLEDGE THAT '1 HAVE READ THIION. GAS VENT a
AND STATE"THAT THE ABOV6'IS CORRECT AND AGREPLY /A1 k
WITH ALL COUNTY ORDINANCES AND STATE •LAWING HOT WATER HEATER ( G ',�PLUMBING.1HEREBY CERTIFY THAT 1 AM PROPERLY REGIST /OR PLUMBING FIXTURESLICENSEDAS REQUIRED BY LOS NGELES COUNTY OF GAS TESTCALIFORNIA OR THAT 1 AM TH L AL OWNER OF,ATO RESIDE IN,THE ABO EDESCRIB 91DENTIAL PROPE .UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL 1�
ALIDATION ROBERT A.WOOD
CK. • M.o. CASH. SUPERVISING MECHANICAL ENG°R
LAC0,25 8 5%�•RI0v:1.4-'•- 51,0