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Home My Public Portal About5016 TEMPLE CITY BLVD_Plumbing__ DMNBT DMR IT ID BB APPLICATION FOR PLUMBING PERMIT 1 DrMON OF BUMDING AND SAFETY DspmmlBnt of County Eng1aBBE County of La BU ILD JOHN LMBIE COUNTY Angel"ENGINEER ADDRESS�D CASSATT D GRIFFIN,SUIP T OF BUILDING LOCALITY F APP ANI TO NEAREST CROSS ST OWNHA DISTRICT NO j qrQUP ZO H Ra DY FOR INSPECTION MAIL / / ADDRESS �' I CITY TEL N - O INDUSTRIAL WASTAPPROVAL PLUMBER INSPECTION RECORD ADDRESS CITY TEL NO LICEN15E NO NUMBER nn OF FIXTURB OR ITEM "IS WATER CLOSET (TOILET) •I DO S BATH TUB $t 00 SHOWER ® $100 LAVATORY (WASH BASIN) 0 $1 OO cp KITCHEN SINK @ 51 00 DISHWASHER ® *too LAUNDRY TUB OR TRAY $I DO CLOTHES WASHER V 00 WATER HEATER @ $I 00 4900 GAS SYSTEM $1 00 APPROVALS DATE INSPECTOR 3SIGNATURE UNDER SLAB WORK PERMIT ! 00 ROUGH PLUMBING AD V OAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES y 44 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS' l S� LICENSED AS REQUIRED BY ANGELES COUNTY AND STATE F DESCRIBED ES THAT 1 A HE L L OWNER THE AS E UTILITY CO NOTIFIED Q DESCRIBED RESIDE THAT.] P ERTY SIGNATURE OF PERMITTER FINAL S JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR 0 CASH ;© MEp9 4 1 3A AUG 21 3 800 m