HomeMy Public PortalAbout4803ALESSANDRO AVE_Plumbing (5) 76A667 (CE 8171 r1/75
s APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES TEMPLE CITY
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO ADDRESS N ALESSANDRO
HARVEY T BRANDT COUNTY ENGINEER
LOCALITY TEMPLE CITY
FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST
CROSS ST CilC C
ABOVE
NUMBER FIXTURE OR ITEM 2 0 FEE DURFEE, � NALD
OWNER
WATER CLOSET MAIL
BATH TUB 200 ADDRESS
SHOWER 2 00 CIT' TEMPLE EITY 286-471
LAVATORY 200 CONTRACTOR TRANE HCC
i
S NK 200 ADDRESS 2034 NORTH PECK RAOD
DISHWASHER 2 00 CITY SO EL MIGNIE 579-79 2
CLOTHES WASHER 2 00 STATE LIC
LICENSE NO 265094 CLASS F xxRR
SWIMMING POOL RECEPTOR 200
DISTRICT NO GROUP ZO E OC ED BY
LAWN SPRINKLER SYSTEM 2 00 r,) _—a-tn
_
WATER HEATER 2 00 INDUSTRIAL �!/
WASTE APPROVAL
1 GAS SYSTEM OUTLETS OM 300 INSPECTION RECORD 0
OUTLETS OVER
5 PER SYSTEM 30 U
O
H
U
W
CL
N
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE 7 50
APPROVALS DATE INSPECTOR 9 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING ►c
City Tel No GAS VENT
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
PLUMBING GAS TEST a^
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DtESC,RIBED RESIDENTIAL PROPERTY
SIFINAL i
OF PERMITTEE VJ 4-26-76
NNNNNNEEENMMd PERMIT VALIDATION cc,
M 0 CASH
PLAN CHECK VALIDATION CK M 0 CASH
5 i 27 .3 D 7 5 0 Ayd
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