HomeMy Public PortalAbout5530-5605TEMPLE CITY BLVD_Plumbing (2) 7GAt 57 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM a FEE
WATER CLOSET 1 75 OWNER Ron McClos - -
BATH TUB i 75
ADDRESS 870 East Mariposa
SHOWER 1 75 CITY en TEL NO 8-0
LAVATORY 1 75 CONTRACTOR Owen Bros,Plumbing IlIng,
SINK 1 75 ADDRESS 4265 North Baldwin Avenue
DISHWASHER 1 75 CITY El Monte TEL NO 3-0078
CLOTHES WASHER 1 75 STATE LIC
LICENSE NO 231;41 CLASS C36
SWIMMING POOL RECEPTOR 1 75
DISTRICT NO GROUP NE P E BY
LAWN SPRINKLER SYSTEM 1 75 S O�
WATER HEATER �A 1 75 WA3T��r'BOVAL
GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD
OVER
OUTLETS O
5 PER
OUTLETS
30
[L
Plan Check fee S. R.v.r..
PLUMBING PERMIT ISSUING FEE B 300
TOTAL FEE 11-4
APPROVALS DATE. INECTOR + I ATURE
Plan Check applicant UNDER SLAB WORN 7
Name ROUGH PLUMBING -
Address GAS PIPING t t
City Tel NO GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ TH 18 APPLICATION
AND !TATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAW! REGULATING
PLUM BIN
0 GAS TEST
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AMD/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AMT LEGA OWMER F AMD TEND TO
RESIDE IM THE ABOVE DES E R! IA, P jr
FINAL
7
SIGNATURE
OF PERMITTEE T
PERMIT VALIDATIONcK M o CASH
PLAN CHECK VALIDATION CN M 0 CASH
L" 8 0 9 O;S SEP.28 5 D 7 3.0 0~ o