HomeMy Public PortalAbout6246 TEMPLE CITY BLVD_Plumbing__ APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENTOFOF COUNTY ENGINEER a ss°
BUIP A ND
SAFETY IVLSION BU
JO N A L MCOUNTY ENGINEER
WILLIAM A JENS[N SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS T
NIIM BER FIXTURE OR ITEM EACH FEE
OWNER
WATER ccoser $1 25 Z
MAD.
BATH TUB 125 L i ) ADD11
SHOWER 125 CITY TEL NO
LAVATORY 115 CONTRACTOR J�'SIN[ 125 �) ADDRESSDISHWASHER 175 CRY TEL NOLAUNDRY TUB 1u CONTRACTOR B /l,v O REGISTRATION NO 4
CLOTHES WASHER 125 �) DISTRICT NO GROUP ZONC EBBED BV/
/ WATER HEATER 1 50
GAS SYSTEM OUTLETS ISD v INDUSTRIAL
WASTE APPROVAL OUTLETS OVER S PER SYSTEM 20 INSPECTION RECORD u
O
Z
1) APPROVALS ATE INSPECT R8BIGN
PERMIT S 2 GO UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
GAS PIPING
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APfLICATIOH GAS VENT
ANO STAT[ THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING
PLUMBING HOT WATER HEATER VA
I HER®Y CERTIFY THAT I AM PROPERLY REGISTERED AMD/ow PLUMBING FIXTURES
LCE
NSZ AS REQUIRED LOS ANG[L[S COUNTY AND STAT[ OF GAS TEST
CALIFORNIA OR THAT 1 M HE
LEGAL OWNER OF ANO INTEND TO
REERCE IN THE ABOVE SCRem p[gD[N PROPaRrr UTILITY CO NOTIFIED IV
SIGNATURE \�
FINAL
OF PERMITTEE
VALIDATION ROBERT A WOOD
CK Al o CASH SUPERVISING MECHANICAL ENO R
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