HomeMy Public PortalAbout5049 SULTANA AVE_Plumbing__ 76A%7 M1712/59 TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
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WILLIAM A JENSEN Burr or BDILDIMG LOCALRS
FOR APPUCAM TO Fni IN
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL _
ADDRESS!
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SHOWER
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LAUNDRY TUB eEOIBTBATION NO co
CLOTHES WASKER DISTRI NOV GROUP Z N PR D Y
WATER HEATER /�/
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WABTH APPROVAL
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OSP�IIBH s \.l APPROVALS DATE INSPECTOR S9IGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAB PIPING
I HEREBY ACCIIOWLEDOE THAT 1 NAY[ READ This APPLICATION GAS VENT,
AND STATE THAT THE ABOVE Is GORIER AMD AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING _ HOT WATER HEATER
1 HERESY CERTIFY THAT I AM PROPERLY REGLITNRED AND/OR PLUMBING FIXTUR
LICENSED AS REQUIRED SY LOS ANGELES COURTT ARD ITATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWMEI OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERM!
FINAL
®• _ VALIDATION ROBERT WOOD,
a ■ 0 C.119 SUPHRVISINO MECHANICAL ENO R
LAF�'o1637M APR 25 5 D 500
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGEM
DEPAIRTTNUM OF CO DIEM
BOI�N A-LAAMB uNrr�NOINSEna>
_ WILLIAM A JENSEN, BUP T OF BUILDING LOCALr7Y
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FOR APPLICANT SO FILL IN RRAHEeT
CROSS ST
NUMBER FIXTURE OR ITEM OWr78H
WATER QOSEr /
ovn
BATE RIS ADDER
CRT TEL RID
SHOWER
LAVATORY cONTRAcTOBAlert Plumbing & Heatin
ana ADD, 13933 So. Crenshaw
DISHWASHER cm Hawthorne TEL RO OS 93691
LAUNDRT RIR Be�tRAnoR RO. 193617 C-36 cOUN" _
CLOTIM WAAMM DISTRICT NO a U ZONEa ED BY yy,,
WATER HEATER 1►
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Ism��m 00STSIAL-WASTE APPROVAL
/ HOPSCROR RECORD 0
o n ro PER rrne s .,
OR PIITDRE IF '7 C-6 APPROVALS )DATA, ,INe►EcroR S nGNwiuRRF
PERMIT S 2 OO UNDER SLAB WORK /S!PZXK. r /%
TOTAL FEEROUGH PLUMBING T
" OAS PIPING TIF
I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IE CORRI CT AND AOIRIC TO COMPLY GAS.VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER \ Ill
PLUMBING
I HERESY CSRTIPY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES f I OII
LICENSED AS REGURRD BY LOS ANGELES COUNTY ANO STATE OP GAB TEST
CALIFDRNIA OR THAT I AM THE LEGAL OWNER OP THE ABOVE _
DEECRIRED RESIDENTIAL PROP UTILITY CO NOTIFIED
SIGNATURE 1 T
OF PERMI FINAL 6KINA11710
i / ALMILTION ROBERT A OOD T
/SCK M D DASH SUPERVISING MECHANICAL ENG R
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