HomeMy Public PortalAbout6446 TEMPLE CITY BLVD_Plumbing__ Dog 1;129. APPLICATION FOR PLUMBING PERMIT i
DIVISION OF BUEDING AND SAFETY
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WM J FOX.
COUNTY ENGINEER ADORES,
CAS,ATT 0 GRIFFIN BUT T OF BUI11 LDING
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LOCALITY
FOR "PLICAM O FILi IN NEAREST
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DISTRICT NO GROUP ZONE AEADi FOR INSFNET ION
ADDRESS AIL
MAIL S L R
INDUSTRIAL
WASTE APPROVAL '
PLUMBER INSPEC.fION =OBD
ADDRESS
CITY '/ P� TE NO fv T
LICENSE NO M' .+
NUMB" T?NOFFIIRURNORrtcM ' FEN
WATER CLOSET (TOILET) s
BATH TUB
J
SHOWER _
n C
LAVATORY (WASH BASIN)
KITCHEN SINK
T /Y T
DISHWASHER I , -
LAUNDRY TUB OR TRAY /
CLOTHES WASH R /
OTAL NO O Bo APPROVALS
• DATE INSPECTOR, SIGNATURE
GAS SYSTE _OUTLETS 100
UNDER BLAB WORK
WATER HEATER 1 00
ROUGH PLUMBING
PERMIT i t OU GAS PIPING
TOTAL FEE ;fv GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE BEAD THIS APPLICATION HOT WATER HEATER _
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/ANAL
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO NOTIFIED
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI L PROPERTY 1%
SIGNATURE FINAL ^ O�
OF PERMITTEE
WILLIAM J FOX.COUNTY ENa1NEER VALIDATION
-Gf 544M YM14 3 4.00 �
BY _ r
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