HomeMy Public PortalAbout9036 ACASO DR_Plumbing_7/30/1979 1
yr
76AG67A
CE 8171REV 6/78) City of Temple Clty
O
APPLICATION FOR PLUMBING PERMIT
x
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
ADDRESS 9036 Acase Drive
NUMBER FIXTURE OR ITEM ® FEE
], WATER CLOSET LOCALITY Temple City
NEAREST
BATH TUB
CROSS ST Rosemead. Blvd
SHOWER OWNER E Van Westbrook
LAVATORY MAIL
ADDRESS 9036 ACaso Drive
SINK CITY Temple City TEL NO 286_3233
DISHWASHER CONTRACTOR paeiflC Installdrs
CLOTHES WASHER ADDRESS
10920 E Grand Avenue
SWIMMING POOL RECEPTOR
CITY Temple City TEL N0442..
0
LAWN SPRINKLER SYSTEM
;TATE LIC
WATER HEATER LICENSE NO 2118 8 CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING O
GAS VENT V
HOT WATER HEATER A 0% Q
PLUMBING FIXTURE
GAS TEST If I
Plan check fee UTILITYCO NOTIFIED Z
PLUMBING PERMIT ISSUING FEE$ C.0 dia
FINAL
TOTAL FEE
1
fLAPla check app(cant NameG ,/ �LrAddress el1A 099/Id M� I A2lC� t J
C ty Tel No
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION AND STATE
THAT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBI G PERMIT VALIDATION
I HEREB CERTIFY I AM LY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANG ES COUNTY AND S OF CALIFORNIA OR THAT I AM THE
LEGAL OWNER OF AN INTEND TO RESIDE IN E ABOVE DES IBED RESIDE TIAL
PROPERTY )
SIGNATUREor PrRM
POSTRI I O �PRO SE BY
INDUSTRIAL t CH
WASTE APPROVAL