HomeMy Public PortalAbout5460 TEMPLE CITY BLVD_Plumbing /73
� 7e0ee1-(gE•817APPLICATI ON R PLUING PERMIT
COUNTY OF LOS ANGELES i �1
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BuaolNc
MAKE CHECKS PAYABLE TO ADDRESS _ 54W Te le Cit Blvd.
I HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY' Temple Cit
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM ® FEE
WATER CLOSET _ __ _ _ 1 75 MAILOWNCDIIStracti -_ _
BATH TUB 1 75 ADDRESS 6 Melanie Lane ry7
SHOWER 1 75 CITY Arcadia TEL NO 445-117'
LAVATORY 1 75 Is Az CONTRACTOR Owen Bros• PlumbinA, Inc.
SINK 1 75 ADDRESS 4265 No. Baldwin A
DISHWASHER 1 75 I CITYElHOAtB q1" 1 TEL NO L ^^g
CLOTHES WASHER 1 75 'STATE 1741 CLIC
LASS C36--20
SWIMMING POOL RECEPTOR 175 23
LICENSE NO 23
DISTRICT NO GROUP I NNE FgOC E BY
LAWN SPRINKLER SYSTEM 1 75 ` _ / (-
ac
WATER HEATER 1 75 WASTETAPPROV AL `
GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD 8
r OUTLETS OVER
5 PER SYSTEM 30
p. U
CL
C7
Plan check fee SBR RRYB,.S
PLUMBING PERMIT ISSUING FEE IS 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR ! SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
I
Address GAS PIPING T
City Tel NO GAS VENT
HOT WATER HEATER
I HERESY THAT
TH LfiDOE THAT HAVE READ AND
THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AHD LAWS E COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
TING '
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/011 UTILITY CO NOTIFIED
LICE
I Cf NEED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF `
CALIFORNIA OR THAT I AM THE LEGAL OW HER OF AND INTEND TO
RESIDE IN THE ABOVE C D REBIDENTI OPFR TY FINAL
SIDNATU RE
OF PERMITTEE
RMIT VALIDATION PK0 CASH
PLAN CHECK VALIDATION CK M G CASH
8 3 25 5 u5 ey8