HomeMy Public PortalAbout6002 TEMPLE CITY BLVD_Plumbing__ 76A667-CE#817 2-62 TEMPLE CRT
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY-ENGINEER B
UILDING 17
BUILDING AND SAFETY DIVISION IJP /�
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING OCALITYFOR APPLICANT TO FILL IN EARESTROSS ST. r
NUMBER FIXTURE OR ITEM EACH FEE
.OWNER a
WATER CLOSET $1.25 MAIL `
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. N0.
LAVATORY 1.25 CONTRACTOR
SINK 1.25: ADDRESS ll
DISHWASHER 1.25 CITY TEL. NOO�IaJ
LAUNDRY TUB 1.25 CO CTO STATE
REGISTRATI NO. ' COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY
WATER'HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD
O
67
Cd
O
I—
ti
W
APPROVALS DATE INSPECTOR'S SIGNATURE ,
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE fV
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 NAVE. READ THIS APPLICATION 1.,.
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATE¢' ELR Cl// J � I � f%� ri
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ,
LICENSED: AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT=DESC : AL OWNER OF,AND INTEND TO
RESIDE IN.THE ABOVESIDENTIAL PROPERTY. TILITY CO.NOTIFIED _
i
SIGNATURE /6
OF PERMITTEE FINAL
VAI.IDATI� ROBER )IGOOD
CK. M.O. CASH SIIPERVIr NG MECHANICAL ENG'R
ii�,o 1 1 7 5 Jai D .�.�