HomeMy Public PortalAbout4431 TEMPLE CITY BLVD_Plumbing__ •• Y ,�8
Gusl APPLICATION FOR PLUMBING PERMIT
DrvimoN OF BUILDING AND SAFETY
D•pwitment of County Engineer
JOHN A LAMB E of CODUNTY ENGINEER ADDRESS LP+ 1 N•Tem le Cit
CASSATT D GRIFFIN.SUP TOP BUILDING
LOCALITY Rosemead
FOR APPLICANT TO FELL IN NEAREST bower Azusa
OWNER H• Roberts DISTRICT NO GROU Z NE EEAPY roE INSPECTION
MAIL
MAILADDRESS
INDUSTRIAL
CITY TEL NO WASTEAPPROVAL
PLUMBER (PAT) INSPECTION RECORD
ADDRESS 2019 N•HO . P•0. 408 �
CITY El Montero TEL NO GI 1+1559
LICENSE NO 11+9216
HUMMER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) a PICO S
BATH TUB ^ Q $1 00
SHOWER Q $1 00
LAVATORY (WASH BASIN) 100
KITCHEN SINK Q $1 00
I DISHWASHER Q $1 DO
LAUNDRY TUB OR TRAY Q $100
1 CLOTHES WASHER a $1 00
WATER HEATER $700
GAS SYSTEM a It00
APPROVALS
DATE I SPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE W GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNS OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDE L PROPERTY
SIGNATURE
OF PERMIT? FINAL V
JOHN A LAMBIE COUNTY ENGINEER �yALIDATION ROBERTA WOOD CHIEF PLBG INSPECTOR
C ■ 0 GEN
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(U7 1 7 2'� APR 15 3 8.0 0 ID