HomeMy Public PortalAbout6007 3/4 TEMPLE CITY BLVD_Plumbing__ 76AG67-CE#8.17 2-62 TEMPLE. CITY ..
. x
APPLICATION[ FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES . • .
DEPARTMENT OF COUNTY ENGINER
BUILDING AND SAFETY DIVISION BUILDING '7 d ! �L
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN,SUP'T OF BUILDING LOCALITY
f k
OF-
FOR APPLICANT TO FILL IN NEAREST /
CROSS ST.. ..
NUMBER' FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 51.25
BATH TUB 1.25 AMDD ESS oq'�p
SHOWER 1.25 CITY �� L. NO. ` s.
LAVATORY 1.25 CONTRAC R
SINS 1.25 ADDRESS
DISHWASHER 1:25 CITY r TEL.NO `?����
LAUNDRY TUB 1.25 CONTRA R'S STATE
REGISTR ION NO. COUNTY p
CLOTHES WASHER 1.25 DISTRICT No. GROUP . ZdNE P CESSED BY.
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER S PER SYSTEM .30 INSPECTION RECORD
O
99
O
LLI
to
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 /
WITH ALL COUNTY' ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER •/
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES v
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST'
CALIFORNIA OR:THAT 1 A THE L AL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE D RISE ESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
i
VALIDATIOLCASN—:
ROBERT A.WOOD
cK. M.O. SUPERVISING MECHANICAL ENG'R.
Lj ;o 5 0 .3 0-"*a' OCT 2 0 5 D 3.50-
' L�