HomeMy Public PortalAbout4836 TEMPLE CITY BLVD_Plumbing__ 76A567-CE817 14/59 .
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APPLICATION FOR PLUM ING PERMIT
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NUMBER FIXTURE OR ITEM PerryLayton
WATER TS 4824 R=TITS clrr Temple Cit TEr. No ED-8 14
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668 SYSTEN DIDUSTRIAL
WASTE APPROVAL
DTSPECIION RECORD
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APPROVALS INSPECTOR 88IGMATURE
PERMIT S 2100 UNDER BLAB WORK /
TOTALFEEROUGH PLUMBING 7-1
GAS PIPING
1 MEREST ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GASVENT
AND STATE THAT THE ABOVE 18 CONNECT AND ABUSE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAYS REGULATING
PLUMBING HOT WATER HEAT ER
1XERESEG
Y CERTIFY THAT 1 AN PROPERLY RISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE Or OAS TEST
CALIFORNIA OR THAT 1 AN THE LEGAL OWN 0! THE ARM
DUMBED RESIDENTIAL PROP Lm LITYCO NOTIFIED
SIGNATURE
OF PERM IrrX,
FINAL
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VAMATIOROBERTX WOOD,
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I'76A667-CU17 4'Z� TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT,
COUNtY OF LOS ANG7L
D� O A�TM EN
GI F uNTY ENainEON ADD 3 EM PJ-Ep
WILLIAM A JENSEN SUPT DFLOCALITYPoa APPLICANT ro FII.i. III NUMBHR FIXTURE OR ITEMOWNEREWaTPB caoser wArtaDDSPSB t L MSH 70RSHOWER Wi! eMPGC NO.
LAVATORY CONTRACTOR /t✓am ADDRESSDI HWAB� CITY L NO �CONTRACTORS STATELAUNDRY TOR REGISTRATION NO CLOTHES WARM DIST/RICTNO GROUP ZONEWATER EMATER J/OIf GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
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APPROVALS DATE INSPECTOR S SIGM7URE
PERMIT 3 E OO UNDER SLAB WORK
TOTAL FEEROUGH PLUMBING3 OD '
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS PENT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAZES REGULATING HOT WATER HEATER
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING PIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAB TEST •�.
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCHIBEM RKMDKNTIAL PRO"
RO UTILITY CO NOTIFIED
SIGNATURE n
OF PRRMITTE FINAL
0r ,,�AL ROBERT A WOOD,
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Ci ■ 0. n16 SUPERVISING MECHANICAL ENO R
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