HomeMy Public PortalAbout6135 TEMPLE CITY BLVD_Plumbing__ 78AE�67•�E .17 2.82 y � �� 1. 0;�-
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/ APPLICATION FOR RLUMBINO PERMIT
COUNTY OF LOS ANGELES �.'
DEPARTMENT OF' COUNTY ENGINEER sUILa1Nc
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
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/ 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-�
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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, �: .