HomeMy Public PortalAbout5939,5939 1/2ALESSANDRO AVE_Plumbing (3) CITY OF TEMPLE CITY, L
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"' APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES 9 ,,,,.B 5 0 5 6 6
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
ADDRESS 59 Alessandro
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY Temple Cit
FOR APPLICANT TO FILL IN (PR NT OR TYPE) CRO NEASST Rosemead T'
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1 50 OWNER Wm. Maher
MAIL
BATH TUB 1 50 ADDRESS Same
SHOWER 1 50 CITY Installation NO Co.LAVATORY j 1 50 CONTRACTOR General installation C
SINK 1 50 ADDRESS 6558 West Blvd
DISHWASHER- 150 CITY Los Angeles TEL NO PL 8-2541
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO "6 151839 CLASS
SWIMMING POOL RECEPTOR 1 50 DiSTRICCT NO P ZONE PR S BY
LAWN SPRINKLER SYSTEM 2 00 GRO�~ �fy 3
1 WATER HEATER 1 50 1 50 INDUSTRIAL a
WASTE APPROVAL O
GAS SYSTEM, OUTLETS 1 50 INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM 30 Ready for Inspechon Now O
WATER SOFTENER
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Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE 8 _ 2 00
TOTAL FEE 3 50
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address , GAS PIPING
GAS VENT
City Tel No 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 GAS TEST 1
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF I J
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED REB TIM.PR Y FINAL
SIGNATURE (fes/v/� Il JACK R ALLEN SUPERVISING MELHANICAL ENG R
OF PERMITTEE
{ PERMIT VALIDATION c M o CASH i
PLAN CHECK VALIDATION CK M o CASH
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1- _ 'r_ 1' _ , I fi-R21 5 a 3.50 -
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