HomeMy Public PortalAbout4902 TEMPLE CITY BLVD_Plumbing__ 'OA°"
OW ITy%,: APPLICATION FOR PLUMBING PERMIT
I?IVISION OF BUMDING AND SAFETY
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County of Ln Ang
WM J FOX COUNTY ENGINIZIER BUILDING
ADDRESS
% CAHSATT D GRIFFIN SUP T OF BUILDING
RUDER LOCALITY LPAf. N
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CITY
ADDRESS
C "NDUBTRIAL
WASTE APPROVAL
PLUMBER L d- l�D INSPECTION RHCORD-
ADDRESS ((� O
CITY TEL NO E
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LICENSE NO) + ' J
NUM,RR TIT[OF FIXTURE OR R,M IR,
WATER CLOSET (TOILET) s
BATH TUB J
SHOWER
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LAVATORY (WASH BASIN)
KITCHEN BINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL O OBO _ APPROVALS
DATE INSPECTOR S SIGNATURE
OAS SYSTEM OUTLETS 100
UNDER SLAB WORK
WATER HEATER 100
ROUGH PLUMBING S
PERMIT • OO GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER _
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXT RES
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AN /OR GAS TEST
LICENSED A9 REQUIRED BY LOS ANGELES C NTT STA OF
CALIFORNIA OR THAT 1 A E LEGA HER THE ROVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL P P TY
SIGNATURE /
OF PERMITTEE FINAL
WILLIAM J FOX,COUNTY ENGINEER VALIDATION
JD499*1S JUN 22 3 1 .80
BY
DEPUTY
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