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HomeMy Public PortalAbout6028 TEMPLE CITY BLVD_Plumbing__ 78ABB7-CE817-11-57 � APPLICATION FOR PLUMBING PIERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING Q JOHN A. LAMBIE, County En es TT D. GRIFFIN,Supt of wilding LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. W NUMBER FIXTURE OR ITEM ti WATER CLOSET OWNER zy, BATH TUB ADDRESS(o.5 SHOWER CITY TEL. 1 6.(0 LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CITY TEL.NO. LAUNDRY TUB CONTRACTOR'S STATE [:]IREGISTRATION NO. COUNTY CLOTHES WASHER DISTR0., GROUP ONE READY FOR INSPECTION WATER HEATSB ei� X GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD r APPROVALS @ $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE Olt FIXTURE $ UNDER SLAB WORK PERMIT $ 00 ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I. HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY HOT WATER HEATER ,j •��)� /Q WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING '• PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED.:AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OFPERMITTE FINAL s" �lAf�6 ROBERTA.WOOD. OF TALIDATION SUPERVISING MECHANICAL ENG'R CK. M.0. CASx 172.7tR JM12 5 A 3.00