HomeMy Public PortalAbout5460 TEMPLE CITY BLVD_Plumbing__ (974A447 (C3-917) - 1/75 N OR
APPLICATIOPLUM&-BING PERMIT {�
COUNTY OF LOS ANGELES �J
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
AIA KE CHECKS PAYABLE TO BUILDING qv
ADDRESS
HARVEY T BRANDT, COUNTY ENGINEER LOCALITYFOR APPLICANT TO FILL IN (PRINT OR TY PEI NEARESTCROSS ST OGNUMBER FIXTURE OR ITEM a FEE200 OWNEfl /T/XX7 WATERCLOSET MAILBATH TUB 200 ADDRESS
SHOWER 200 CI �( L NO
LAVATORY 200 CONTRACTO
SINK 2 GO ADDRESS
DISHWASHER 200 CI TEL NO
/ CLOTHES WASHER 200 v STATE LIC
LICENSE NO CLASS .�
SWIMMING POOL RECEPTOR 200
DISTRICT NO GijQUP ONE CESSED BY
LAWN SPRINKLER SYSTEM 200 OppII�.LL
WATER HEATER •y_ 200 V%ASTETAPAPROVAL
GAS SYSTEM UTLETS 200 INSPECTION RECORD U
OUTLETS OVER 30 0
5 PER SYSTEM
W
d
N
2
Plan check fee See RICOMPLY
PLUMBING PERMIT ISSUING FE3 00
TOTAL
APPROVALS • DATE INSPECTOR a BwHATVR[
Plan check applicantUNDER SLAB WORK I
Name BOUGH PLUMBING J i7 9 J
Address GAS PIPING
City TeGAS VENT
HOT WATER HEATER
I HERSEY ACKNOWLEDGE THAT 1 HAVE IS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT ANDREE To COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND SWS REGULATING GAS TEST
PLUMBINQI HEREBYC[NTIFY THAT I AM PROPESTERED AND/OE UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES AND TE OFCALIPONNIA ON THAT I A E AL OWAND N NO TORESIDE IN THE AEOVL 0[f CO SIOINPER FINAL
SIGNATURE
OF PERMITYEE
PERMIT VALIDATIONcK o CASH
PLAN CHECK VA ATION CK M 0 CAI
`/ , 9 8 5a.JW 24 5 0 7.00 A3