HomeMy Public PortalAbout9026 ACASO DR_Plumbing_2/3/1971_water heater 76 A'�67 - CE 817 7-69
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES B47441
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS 9026 E. Acaso Dr.
JOHN A. LAMBIE, COUNTY ENGINEER r
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST d
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Nick Rimitr
WATER CLOSET 1.50 MAIL
BATH TUB 1.50 ADDRESS Same
SHOWER 1.50 CITY TEL. NO.
LAVATORY 1.50 CONTRACTOR General Installation Co.
SINK 1.50 ADDRESS 6558 West Blvd. _
DISHWASHER 1.50 CITY Los AngeleATEs A TEL. NO. PL 3-2541
CLOTHES WASHER 1.50 LIC
LICENSE NO. C-36 151837 CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE PRO S5�R3 BY
LAWN SPRINKLER SYSTEM 2.00 5
1 WATER HEATER 1.50 11 50 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD
OUTLETS OVER 0
5 PER SYSTEM .30 Rea yforIweetion No 1-7
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WATM SOPrENM LI
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Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 9 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK -
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City. Tel. No.
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RES NTI L PROPERTY. FINAL
SIGNATURE • JACK R. ALLEN, SUPERVISIN CHANICAL ENG'R.
OF PERMITTEE V
PERMIT VALIDATION CK., M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
�. :1 7FE6 3 5 A 3.50- 147
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