HomeMy Public PortalAbout5630 TEMPLE CITY BLVD_Plumbing__ DBB�T IO EE �APPLICAT1011! FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY p
Department of County EnglnNr
Cc°nty of Los Angeles BUILDING - •N. Temple City Blvd
JOHN A L.AMBIE COUNTY ENGINEER ADDRESS
CASSATTD GRIFFIN. SUP TOFBUILDIND LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OWNER Floyd Wells DISFRICT IP GRO P ZONE READY FOR INSPECTION
MAIL J�•r� 3
ADDRESS
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER Belvedere Plumbing Co. INSPECTION RECORD
ADDRESS 11900 E . Garvey Ave. In lIm
CITY El Monte TEL NO GI 89836
LICENSE NO 54932 e Au
NUMBER TYPE OF FIXTURE OR IT" IEE O ...���
8 WATER CLOSET (TOILET) @ {1 00 $8 00
8 BATHTUB 0 $I Oo 8100
2 SHOWER a $1 00 2100
LAVATORY (WASHBASIN) 9 $I 00
KITCHEN SINK @ $100
DISHWASHER @ sl 00
LAUNDRY TUB OR TRAY a f 100
CLOTHES WASHER @ $1 00
WATER HEATER a $100
OAS SYSTEM ® *100
8 disposal 8 .00
APPROV
AT SSI TURE
R _
UNDEWORK
PERMIT $ t 00 ROUGH PLUMBING O
OAS PIPING
TOTAL FEE 11 59 0 GAS VENT
1 HEREBY ACKNOWLED6E THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL 02JER OF THE OVE UTILITYCO NOTIFIED
DESCRIBED RESIDENTI OPERTY
SIGNATURE
OF PERMITTEE FINAL
JOHN A LAMBIE COUNTY ENGINEERVALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
U_ B E CASH
.tR
T'c
X21-4!5S S&11 s 59.00 9
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