HomeMy Public PortalAbout4433 TEMPLE CITY BLVD_Plumbing__ 468
87,DE, APPLICATION FOR PLUMBING PERMIT 1
` DIVISION OF BUILDING AND SAFETY
Department of County EullfaseE
county I Los LINTY E ADDRESS 4433 N. Temple City Blvd•
JOHN A LAMBIE COUNTY ENGINEER
CASSATTO GRIFFIN,SUPTOPBUILDINo Rosemead
LOCALITY
FOR APPLICANT TO FILL IN NEAREST bower Azusa
CR SS ST
OWNER H ROBERTS DISTRiy'ATIO OROU� ZONE. READY MR INSPECTION
MAIL •�Q�
ADDRESS
INDUSTRIAL
ITS TEL, NO WASTEAPPROVAL
PLUMBER INSPECTION RECORD
ADDRESS 2019 N.Hoyt P.O. 468
CITY E1 Monte TEL NO GI 41559
LICENSE NO 149236
NUMBER TYPE OP FIXTURE ON REM FEE
1 WATER CLOSET (TOILET) a $1 DO
BATH TUB Q 5100
SHOWER a f100
LAVATORY (WASH BASIN) Q $1 GO
KITCHEN SINK @ j100
DISHWASHER a !100
LAUNDRYTUS ORTRAY a •I DO
CLOTHES WASHER @ •1 00
WATER HEATER BI 00
GAS SYSTEM 4100
APPROVALS
DATE INAPECTOq 5SIGNATURE
t� ROUGH
ER BLAB WORK I
PERMIT t PLUMBINGPIPING C ,lj
TOTAL FEE GA6 VENT 1
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
1 HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESID L Pa
SIGNATURE
OF P6RMITT FINAL V
JOHN A LAMBIE COUNTY ENGINEER ,,A{ALIDATION ROBERT A WOOD CHIEF PLSG INSPECTOR
SH
Lp 7 1 7 1 APR 15 3 800 in