HomeMy Public PortalAbout6248-6248 1/2 TEMPLE CITY BLVD_Plumbing__ >ewea>•ceI .T I0.e4 y-�/ V4,ee
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES - i.
DEPARTMENT OF COUNTY ENGINEER
BU II i�INCL�{ND SAFETY DrMION BDICD>r
JOH A MEHE COUNTY ENGINEER ADD
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FELL IN NEAREST
Y
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 5125 } MALL
BATH TUB 145 y'"� ADDRESS
SHOWER 145 Cm TEL NO
LAVATORY 1 u 5U CONTRACTOR
SINE 145 ) ADDRESS
DISHWASHER 125 Cm TEL NO v(.7f'-c j
LAUNDRY 7ITB 145 CONTRACTOR 6 REGISTRATION HO / (� [� D'-'rT COUNTY
CLOTHES WA8I�8 145 DISTRICT NO GROUP 20NH P EDSED BY
WATER HEATER 150
r�
'1 GAS SYSTEM OUTLETS 150 INDUSTRIAL d
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 40 URSPECTION RECORD U
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rO
V
W
d
N
Z
S-6 APPROVALS AT INIP[CT RBBIDNA n
PERMIT S 2 00 UNDER SLAB WORK ./
ROUGH PLUMBING ri L
TOTAL FEE 0 GAS PIPING
I N[RMY ACKNOWL[OGE THAT 1 HAVE 1 D THIS ARLIGTIOM GASVENT
AMC [TAT[ THAT THE ASO I If CORMCT AND AGR[E TO COMPLY
WITH
ALL COUNTY ORDINANcu AND rtwi[ uwE REOULATINO HOT WATER HEATER
PLUMBING
1 HERKRY CKWIFY THAT I AM PROPERLY REGI[TER[D AN DIOR PLUMBING FIXTURES
1,t1v
LIC[NOID AB REGUIR[D BY LOB ANG[L[[ COUNTY AND BTATE OF GAS TEST
CALIFORNIA OR THAT I N TX[ L[GAL OWN6P OF AND INi[NO TO
nulD[ IN THE ABOv ec ID[D4[BID[ PROm"Y UTILITY CO NOTIFIED
SIGNATURE /
OF PERMITTEE
FINAL
QVALMIATION ROBERT A WOOD
<K M O CABH SUPERVISING MECHANICAL ENG R
� 4 0 7 JUL28 15, D / 2050- ,