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HomeMy Public PortalAbout6135 TEMPLE CITY BLVD_Plumbing__ 78AE�67•�E .17 2.82 y � �� 1. 0;�- .'1 �� � ',1'1'x'( / APPLICATION FOR RLUMBINO PERMIT COUNTY OF LOS ANGELES �.' DEPARTMENT OF' COUNTY ENGINEER sUILa1Nc BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER i / WILLIAM A.JENSEN, SUP'T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST. CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL V_ / BATH SUB 1.25 ADDRESS SHOWER 1.26CITY TEL. NO. LAVATORY 1.25 CONTRACTOR SINK 1,25 ADDRESS tI o%9 DISHWASHER 1.25 'CITY &E SEL. NO. 2 a. . LAUNDRY TUB 1,25 CONTRACTOR'S - STATE REGISTRATION NO. . ` /O COUNTY p CLOTHES WASHER 1.25 DISTRIT NO. GROUP GROUP ZONE mz�� WATER HEATER 1.50 I 5 DSO' GAS SYSTEM 's OUTLETS 1.50 WNZS�P gOVAL } OUTLETS OVERS PER SYSTEM .30 INSPECTIONHEC03LD-� Lu 9L z. h V APPROVALS DAtE_ INS�ECaTOR•'S SIGNATURE UNDER SLAB WORK L-r1to ,�4fkrll PERMIT N 2 00 ROUGH PLUMBING 7U/431' TOTAL FEE /5010 GAS PIPING 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT f AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST RESIDE IN,THE ABOVE^SCRYMIt RESIDENTIAL PR PERTY. UTILITY CO.NOTIFIED f SIGNATURE OF PERMITTEE FINAL ry.of/Qaf pr vvr ALIDATION ROBERT A.WOOCi CK. M..O. CASH SUPERVISING MECHANICAL ENG'R Lf1W 5 8 Z' -;3 JUN 7 5 D ' 1 5.0 0 r, �: .