Loading...
HomeMy Public PortalAbout5708 TEMPLE CITY BLVD_Plumbing__ I �,�� APPLICATION TEAEST.CE..,T 4-84 I ATION FOR PLUMBING PERM�-(-' COUNTY OF LOS ANGELES DEPARTMENT�p►��OppF CpOUNTY�]ENGINEEM saaDDra / e7 J B TNG AMI GoOUNTT €NIMXIER ADDRESS / O O WILLIAM A JENSEN SUPT of BUILDING LOCALITY -10 FOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEM EACROSS ST -,e CH FEE OWNER WATER CLOSET 8125 MAIL BATH TDB 125 ADDRESS - - mcouovrzy� SHOWER 125 CITY TEL LAVATORY I25 COIRRACTOR SDRK 125 ADDRESS S' 22, AILAAGtrm� La DISHWASHER I95 CITY TEL LAUNDRY TOB 175 REGISTRATION CONTRACTOR SNO I� CLOTHES WASHER -1 15 0 DIST ICT NO GROUP ZON! /P�+tOCEBSED BY WATER NEATER ISO 5O q, OO l GAS SYSTEM OUTLETS 150 INDUB�PHovAL p OUTLETS OVER 5 PER SYSTEM 50 INSPECTION RECORD V O N APPROVALS DATE INSPECTOR a SIGNATURE PERMIT s 2 GO UNDER SLAB WORK ROUGH PLUMBING T6TAL FEE GAS PIPING I HERSEY wc[NOWLSOGE r AT I HAVE READ THIS APPLICATION GAS VENT _ ANO STATE THAT THE ABOVE IS CORRECT AND AGR[[ TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WITHAPLUMBING HOT WATER HEATER I HERESY C[IRIPT THAT I AM PROPERLY REGISTERED ANO/oR PLUMBING FIXTURES LIC[MO[D AS REQUIRED BY LOE ANGELES COUNTY AND STAT[ OP GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO �REEIOE IN THE AROY uSCR RESIDE. PERTY UTILITY CO NOTIFIED SIGNATURE OF PERMITTEE - FINAL / M 0TION ROBERT OD ( CK `. cR M o CASH SUPERVISING MECHANICAL ENG R L[,p4 1 6 7Z sEP 24 5 0 325- q