HomeMy Public PortalAbout5008TEMPLE CITY BLVD_Plumbing (2) ` • I , J
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
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APPLICANT TO FILL IN(PRINT OR TYPEI, AKIN 5W8 Temple City Blvd•
FIXTURE OR ITEM 8 ,FEE
CLOSET LOCALITY T le City �
NEAREST
UB CROSS ST
R ^�f^� OWNER
ORY T'A.i MAIL
ADDRESS 5008 Temple Cit Blvd•
SINK CITY Ten*:Le City Tg NO 2 1C58
DISHWASHER CONTRACTOR Universal Plumbing
CLOTHES WASHER ADDRESS
2631 Lee Ave.
SWIMMING POOL RECEPTOR
CITY So. El Monte TEL NO 575-3460
LAWN SPRINKLER SYSTEM STATE LIC
WATER HEATER UCENSE NO 11 Ani A CLASS
GAS SYSTEM OUTLETS UMVALS 0 PATE. IN SIGNATURE
OSOVER UNDER WORKO
5 PUER STLETYSTEM
ROUGH PLUMBING
GAS PIPING
GAS VENT V
HOT WATER HEATER 0
PLUMBING FIXTURES
GAS TEST
Plan check fee UTILITY CO NOTIFIED _
PLUMBING PERMIT ISSUING FEE S
TOTAL FEE FINAL
PLAN CHECK VALIDATION
Plon check applicant y�¢m�x
Name -J `�LI✓l�"�.'-_:T
Addrns
CO Tel No
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE :15 1 2 9 A
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAM REGULATING PLUMBING PERMIT VALIDATION ` # 5
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS 2 O O
RECLINED BY LOS ANGELES COU ND STATE OF CALIFORNIA OR THAT I AM THE
LEGAL OWNER OF AND INTEND ESIDE IN THE ABOVE DESCRIBED RESIDENTIAL T
PROPERTY
. . . 2500
SIGNATURE e
OF PBRMrTTeE + 0 6 2 5-79
DISTRN5 f� ED BY
INDUSTRIAL (J b ,
WASTE APPROVAL
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