HomeMy Public PortalAbout4446 TEMPLE CITY BLVD_Plumbing__ D Sa71104 APPLICATION FOR PLUMBING PERMIT
DIVISION OF BUMMIG AND SAFETY 1
Dipmtameat of Cooatr EaglaseT `'
County of riOf �°O�' BUILDING f
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WM J FOCOUNTY EIN
NGBQt ADDR S 7r'rT Yp
CASSATT D GRIFFIN SUP T OF BUILDING
,LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS OWNER • ICT NO G P DISTRICT NE Re"T FOR INRPRRIGe
MAIL Fl6 . S_
ADDR SB TT
._.IND BTRIAL
CITY TEL 40WASTE APPROVAL
PLUMBER Y^L ' 1' 49 INSPECTION RECORD
ADDREESSFS, �S
CITY �'N•) TEL 7 31'
LICENSE NO /uf3 S
NUMRRR TYPE OF FIXTURE OR ITEM IRR
WATER CLOSET (TOILET) $ '
BATH TUB
SHOWER
LAVATORY (WASH BASIN) _
KITCHEN SINK
DISHWASHER _
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL
080 APPROVALS
DATE INSPEiTOR S SIGNATURE
GAS SYSTEM OUTLETS ® 100 _
WATER HEATER 1 00 • OQ UNDER SLAB WORK
ROUGH PLUMBING
PERMIT i {{7 00 GAS PIPING '
TOTAL FEE O(• D `OAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER v
ANO 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 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRE BY LOS ANGELES COUNTY AND STATE OF UTILITY CO NOTIFIED
CALIFORNIA OR THA 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT#L PROPERTY
SIGNATURE 'S SS
OF PERMITTE! 1FINAL
WILLIAM J FOX. UNTY ENGINKER VALIDATION `
' A3353to MAY 3 3 200 p `
By
' ��•� DEPUTY