HomeMy Public PortalAbout5812-5814TEMPLE CITY BLVD_Plumbing (2) 76A667 (CE-817)- 5/73
APPLICATION FOR UMBIN ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: . • 7BUILDING
812 Tem le Cit Blvd.
HARVEY T. BRANDT, COUNTY ENGINEER • . emple City
FOR APPLICANT TO FILL IN (PRINT OR TYPE)
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1.75 MAILOWNERDX It A. .Sarolis
BATH TUB 1.75
ADDRESS " 348 N. Arroyo Dr .
SHOWER 1.75 CIN San Gabxi'el TEL. NO. `285-4142
LAVATORY 1.75 CONTRACTOR San Marino Plumbin
I SINK darkrm. 1.75 ADDRESS 1465 San Marino Ave .
DISHWASHER 1.75C1TY '.San Marino TEL. No. 796-7116
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. 78681 CLASS C-36
SWIMMING POOL RECEPTOR 1.75
OCESS D BY
LAWN SPRINKLER SYSTEM 1.75 DISTRICT NO. GROUP ZONE
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WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD O
OUTLETS OVER v
5 PER SYSTEM .30
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 31 00
TOTA F EA 9 50
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant ' UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
L
EBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
LL COUNTY ORDINANCES AND STATE LAWS REGULATING -
G. GAS TEST
EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
AS REQUIRED BY LOS ANGELES COUNTY AND'.STATE OF -
NIA OR THAT I AM THE LEGAL OWNER'OF, AND INTEND TO
N THE ABOVE OESC BED SIDE TIAL PROPTY. FINAL i
U RE
ERMITTEE `
PERMIT VALID TI N. CC.- X10. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
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