HomeMy Public PortalAbout5324 TEMPLE CITY BLVD_Plumbing__ 78A86/-Cf8 _BSB
APPLICATION FOR PLUMBING PERMIT 1
COIINTY OF LOS ANGELES
DEP MDIN NT D COUNTSAFETY ENGD� ADDRESS q ]~�-MPL.F IT' L
BD7A A. SAFETY 114 a
CA88ATT D anarm eon Wa.v wcju= L� /
FOR APPLICANT TO FILL IN NEAREST
gnu ST V E-
NUMBER FIXTURE OR ITEM OWI .Fr 0 E
WATER CLOSET mm - r LF ' AW 7
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` BNOWEa Tarr 4F Ci T= RO 30/
1
LAVATORY coRraacroa ,E'
8U� ADDRESS
PIEKWABSER Car SEL NO
GTOWB STATE 0
LAUNDRY SUB BEGMSTENTION NO. COUNTY
CLOT®WAIiEIER DIST:FN_O G3yP ��L//ZgNEE P CESSED Y
WATER BEATER J
GAR SYSTEM IIWXY21TRIAL
WASTE APPROVAL
ON RECORD
p APPROVALS
OH�P<II�U88 i DATE INSPECTOR S SIGNATURE
1p
UNDER SLAB WORK
PERMIT S E GO ROUGH PLUMBING ✓ r-
TOTAL FEE O D GAG PIPING
1 HEREBY ACEMOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COYPU HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTUR99
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR WT 1 A THE LEGAL OWNER OF THE ABOVE UTILITYCO NOTIFIED
DESCRIBED RE91AL PE
SIGNATURE FINAL ALL Y
OF PERM ITE
VALIDATION ROBERTA WOOD
mr N SUPERVISING MECHANICAL ENG R
C[ Y 0 CAltl
_T07971u; NOV 23 5 A 4/J.00 /�