HomeMy Public PortalAbout5423 TEMPLE CITY BLVD_Plumbing__ 7"667-C11.eI7 z-ea City of Temple City P 11723
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUMDING ;
JOHN A LAMBIE COUNTY ENGINEER ADDRESS 542 Temple City
d.
COLEMAN W JENKINS SUPT OF BUILDING
LOCALITY Temple Cit
FOR APPLICANT TO FILL IN NEAREST
Broadway
NUMBER FIXTURE OR ITEM EACH FEE OWNER O'Donnell
WATER CLOSET tl 25 MAIL
BATH TOB 115 ADDRESS $ame
SHOWER IIS CITY TEL NO
LAVATORY 115 CONTRACTOR General Installation Co.
sum 123 ADDRESS 6558 West Blvd.
DISHWASHER 125 CITY Los Angeles TEL NO PL 3-2541
LAUNDRY TDB 10 TATE LIC
LICENSE NO C-36 151839_ CLASS
CLOTHES WARNER 115 DISTRICT NO GggU► ZO P
WATER HEATER 1 W
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GAS SYSTEM-OUTLETS 1 so INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER S PER SYSTEM m INSPECTION RECORD
WArsRsoPrEHBR Ready for Inspection Nov
W
CL
N
Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT sJA"LJ�TJOH
0 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE Q
OAS PIPING
1 M[IKLY ACKNOWLEDGE
THAT I HAVE [GD THISION GAS VENT
ANO [TAT[ THAT THE ABOVE 1[ CORRECT ANG AGREPLYWITH ALL COUNTY ORDINANCE! AND STATE uWING HOT WATER HEATER
PLUMBINGI HERESY CERTIFY THAT 1 AM P[OPSRLY REGIST /OR PLUMBING FIXTURES
LICENSED ASREQUIRED BY LO[ ANGELES COUNTY OT GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF ATORESIDE IN TH[ASOv[D[SCRIS[D R[SI uL PROP[ UTILITY CO NOTIFIED
SIGNATURE l//
OF PERMITTEE
FINAL
0AMATION
JACK R. ALLEN
M O CASH SUPERVISING MECHANICAL ENG'R
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