HomeMy Public PortalAbout6000 TEMPLE CITY BLVD_Plumbing__ OF
7GA667-CE#8172-62 EMPLE CRTY ,
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS Qea
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY d
FOR APPLICANT TO FILL IN NEAREST /
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE F
OWNER
WATER CLOSET $1.25- MAIL
_I�
BATH TUB 1.25
ADDRESS
SHOWER 1.25 CITY TEL. r'
LAVATORY 1,25 CONTAACTO / �+
SINS 1.25 ADDRESS `
DISHWASHER 1.25 eip
, TEL. N i6��
STATE
LAUNDRY TUB 1.25 S COUNTY
N NO. /� 2 �CLOTHES WASHER 1.25 NO GRC P ONE OCE Eb BWATER HEATER 1.50gGAS SYSTEMOUTLETS 1.50
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD }
99
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
PLIUMB TH N6 COUNTY ORDINANCES AND STATE LAWB. REGULATING HOT WATER HEATER .(•f/ flt,slll
1 HEREBY CERTIFY THAT I AM ERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED LO NGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 T LEGAL OWNER O AND TEND TO
RESIDE IN,THE ABOVE CR ED RESIDE � L ERT UTILITY CO.NOTIFIED n
SIGNATURE A /A j
OF PERMITT E FINAL 1 P
k
VALIDATION ROBERT A.WOOD
CK. M.O. GASH SUPERVISING MECHANICAL ENG'R
U&4372 JAN 14 5 D 3.50- �'