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HomeMy Public PortalAbout6131 TEMPLE CITY BLVD_Plumbing__ 7;SCE@Y -#t;'172-62 - TEMPLE CITY N , APPLICATION FOR PLUMBING PERMIT : COUNTY OF LOS ANGELES -DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS t 3 WILLIAM A:JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST j CROSS ST. i NUMBER FIXTURE OR ITEM. EACH FEE ^ OWNER d� WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS r SHOWER1.25 CITY TEL. NO., F LAVATORY 1,2 CONTRACTOR' ( SINS 1,25 ADDRESS . DISHWASHER 1.25 CITY TEL.NO. LAUNDRY TUB 1 CONTRACTOR'S STATE REGISTRATION NO. COUNTY CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P ESSED BY WATER HEAER ��++ 1.50INDUSTIiIAL ' y GAS SYSTEMS OUTLETS 1.50 WASE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD u R. ' �•p - APPROVALS DATE-, INSPECTOR;S/SIG_NATURE' UNDER SLAB WORK PERMIT $ 21-00 7' / Ila ,.��N' ROUGH PLUMBING TOTAL FEE S d 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 HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANGOR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATE OF d/) y/,j / ' CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO. .GAS TEST 16 I R ;✓ RESIDE IN,THE ABOVE DESCRIB RESIDENTIAL PROPERTY. - UTILITY CO.NOTIFIED LS�IGNATUREE PERMITTEE FINAL .. �LIDATION ROBERT A.WOOD M.O. CASH SUPERVISING MECHANICAL ENG'R LAL0 5 8 81 �i;:d 1? 5 D 1 5.r) 0 N a