HomeMy Public PortalAbout5325 PAL MAL AVE_Plumbing__ T.A.IT B.T
DRE APPLICATION FOR PLUMBING PERMIT 1
DIMON OF BUILDING AND SAFETY
Department of County Englnar
CFWASHER
y of Lee Angela
WM JX COUNTY ENGINEER BU ILDINO
ADDRE88
CABEATTRIFFIN SUF T or BUILaIKa
512 P;ilml
LOCALITY Temple City
FOR LICANT TO FILL IN NEAREST
C OS ST
OWNERDISTRIQTNO GFSQ({@ ` ZONE 9[ADY FDI INnICTION
MAIL bT / I ter/
ADDRESS
INDUSTRIAL
CITYTEL NO WASTE APPROVALne���
PLUMBER EarPat) Standl1eyoInc• INSPECTION RECORD
ADDRESS 201IIO P.O Y'OO _
CITY El MonTEL No GI 41 9
LICENSE NO 236
MURDER F FIXTURE OR ITCH FEE
1 WATER CT (TOILET) s
BATHTUB
SHOWER
LAVATOA H BASIN)
KITCHEN IL u
DISHWA
LAUNDROR TRAY
CLOTHEHER
TOTAL NO 080 APPROVALS 'Y-1
DATE INSPECTOR S SIGNATURE
1GAS SYSTEM-OUTLETS @ 100
WATER HEATER 0 1 oo 1 O UNDER SLAB WORK
ROUGH PLUMBING
PERMIT f 1 00
8 O G"PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGETHAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CON RECT AND AGREE TO COMPLY 1Z Aee 12 J(
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR OAS TEST 1'
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT i AM THE LEGAL 0 ER OF THE ABOVE UTILITYCO NOTIFIED
DESCRIBED RESIIDEKX#n PROPEN
SIGNATURE
OP PERMITT
FIN4L
WILLIAM J FOX, COUNTY ENGINEER VALIDATION R A WOOD,CHIEF PLBG INSPECTOR
• twf 6 6 3In OCT 2 3 3 8.0 O .9
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