HomeMy Public PortalAbout6205 A & B TEMPLE CITY BLVD_Plumbing__ 76A667-CE817-8-57
APPLICATION FOR, PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
I A, LA COUNTY ENGINEER LOCALITY Temple City
CASSASSATT D. GRIFFIN.
N, SUPT OF BUILDING
FOR APPLICANT TO-FILL IN NEAREST
4 CROSS ST.
NUMBER -FIXTURE OR ITEM
2 WATER CLOSET OWNER
2 BATH TUB ADDRESS
SHOWER CITY TEL.NO.
2 LAVATORY CONTRACTOR Fontana Plbg,- Co
SINK ADDRESS 13329 E. Ector St.
DISHWASHER CITYIndusitry TEL.NO
7-7-226
LAUNDRY TUB REGISTRATION NO. C36-96496 STATE
COUNTY ❑
CLOTHES WASHER
DISTRICT NO. GROUP ZONE READY FOR INSPECTION
2 WATER HEATER �f
2 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
'2
o T - IEne 13,E1-Ow D?C
APPROVALS
D O @ $I.00 PER ITEM QQ DATE INSPECTOR'S SIGNATURE
OR FIXTURE $ UNDER SLAB WORK rsjIlL!
f w
/�.p �{4,• r3l
PERMIT S 1:100
ROUGH PLUMBING
O GAS PIPING YBa II-74-A-V ; .r:�e•,"�
TOTAL FEE GAS VENT p �t
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT'WATER HEATER', Z(3 S+7 blsCf fj�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES"*
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST F /
LICENSED AS REQUIRED BY LOS ANG S COUNTY AND STATE OF d
CALIFORNIA OR THAT I AM E OWNER OF THE ABOVE UTILITY CO:NOTIFIED 7��a T, �Ipyr
DESCRIBED RESIDENTIAL R
SIGNATURE
OFPERMITTEE FINAL
ROBERT A. WOOD,
es eALMATION SUPERVISING MECHANICAL ENG'R
M.O. CASH
L, 07809' MY12 3A 15.0.0 19