HomeMy Public PortalAbout5758 TEMPLE CITY BLVD_Plumbing__ ►SA987 APPLICATION FOR. PLUMBING PERMIT
)BS-17 10.88 7
DIVISION OF BUILDING AND SAFETY ,
Deportment of. County fnglaeer
County of LOS Angeles BUILDING
JOHN A.LAM•BIE. COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFINS SUPTJOF BUILDING
LOCALITY
FOR APPLICANT TO FILL :IN NEAREST.
CROSS ST.
OWNS DISTRIC�. GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS �.
P �J INDUSTRIAL
CITY TEL.N . R� WASTE APPROVAL
PLUMB INSPECTION RECORD
ADDRESS
e
CITY TEL.NC.//✓
LICENSE.NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ .$.1.00
SHOWER. Q $f:00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ .$1.:00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ S LOCI �D
CLOTHES WASHER @ $1.00
WATER HEATER. @ 4.1:00
GAS SYSTEM @ $1.00.
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK AI
PERMIT $ 7 .00 ROUGH PLUMBING
GAS PIPING /
TOTAL FEE ' . a
GAS PENT
I HEREBY ACKNOWLEDGE 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 OS. LES. COUNTY AND STATE OF
CALIFORNIA
RESIDENTIAL P TOR THAT I A T. LEGAL OW ER 7 ABOVE UTILITY CO.NOTIFIED
. Y.
SIGNATURE
OF PERMITTEE FINAL
'OHN A.LAMSIE.COUNTY ENGINEER VALIDATI OBERT A.WOOD.CHIEF PLBG. INSPECTOR
• C6. M:•. CASH
.-� � :Q 3=. 9• :IRS 1.�3 3 .A: