HomeMy Public PortalAbout4950 TEMPLE CITY BLVD_Plumbing__ TBA6BT APPLICATION FOR PLUMBING PERMIT 1
C¢eIT BUMDING AND SAFETY DTMON
Deportment of County Engmear
County Of Loa Angel" JAI,
UILDING
JOHN A LAMBIE,COUNTY ENGINEERDDRESS '7
CASSATTD GRIFFIN,SUP T OR BUILDINGl
CALITY
FOR APPLICANT TO FILL INEAR EBT
ROSS BY
OWNER DISTRICTTNNp GRROOUrDIRESS P ZO ti �¢ T toe INSPE ION
MAIL h CITY TEL NONDUSTRIAL
ASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS
CITY TEL NO
LICENSE NO4NUMBER TT'E Or FlX RM OR MEN
WATER CLOSET (TOILET) @ 01 00 S
BATH TUB 9 jl DO
SHOWER @ 0100
LAVATORY (WASH BASIN) @ 0100
KITCHEN SINK @ 01 00
DISHWASHER @ 9100 \
LAUNDRY TUB OR TRAY @ 91 DO
CLOTHES WASHER 1 00
WATER HEATER @ 91 00
GA SYSTEM 91 00 DO
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER BLAB WORK
PERMIT j 1 00 ROUGH PLUMBING
6A8 PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY HOTWATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAMS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTI►Y THAT 1 AM PROPERLY REGISTERED ANO/OR GAB TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENT PROPERTY
SIGNATURE
OF PERM ITTSM RI NAL
ROBERTA WOOD,
JOHN A LAMBIE COUNTY ENGINEER VALIDATION SUPERVISING b1ECHANI CAL ENO R
Q ■ O CASH
LCD 2'3 5 Sr. sEP 17 3Q 2.00