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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: