HomeMy Public PortalAbout5470 TEMPLE CITY BLVD_Plumbing__ TRAS67
MRR IT to ee APPLICATION FOR PLUMBIN E MI
DIVISION OF BUMDING AND SAFETY
Dep�.nt of Count? Engln
JOHN A LLAM E COUNTY ADDRESS O
CASSATT D GRIFFIN,SUP T OP BUILOIMG �' ,
LOCALITY /
FOR APPLICANT TO FILL IN NEAREST S-
OWNER ROSBDISTRIC'[�10 GROUP Z HE RRAPT MR INSPECTION
MAIL 5 .•.fy�' //'/T�1
ADDRESS
INDUSTRIAL
ITV TEL N WASTHAPPROVATLv er.
PLUMBER INSPECTION RECORD
ADDRHSS
CITY TEL NO
GL.
LICENSE NO
NUMB" TIT[01 FIXTURE OR ITEM PER
WATER CLOSET (TOILET) $t 00
BATH TUB {I 00
SHOWER •t oo
LAVATORY (WASHBASIN) $t oo
KITCHEN SINK @ v oo
DISHWASHER Q st 00
LAUNDRY TUB OR TRAY X100
CLOTHES WASHER ® $1 00
71 WATER HEATER 1 00
GAS SYSTEM 0100
APPROVALS
DATE INSPECTOR SSIGNATURE
UNDER SLAB WORK
PERMIT $ t DO ROUGH PLUMBING
/7 GAS PIPING
TOTAL FEE GAS VENT
1 D HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSEDAS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITYCO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY
SIGNATUREoAt7
OF PERM ITT FINAL
JOHN A LAMBIE COUNTY ENGINEER VALIDATIQ ROBERT A WOOD CHIEF PLBG INSPECTOR
GR Rf ,04 8 0 46; DEC 4 3 3.0 0 R
9/� .