HomeMy Public PortalAbout4846 AGNES AVE_Plumbing_7/25/1975_water fixtures (2) 76A667 (CE 817) 5/73 I
APPLICATION FOR PLUM ING PERMIT
COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO ADIDRENG
SS LDING 4B46 Agnes ,� �—
HARVEY T BRANDT COUNTY ENGINEER
,LOCALITY Tem 1 Cit �
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST
NUMBER � FIXTURE OR ITEM @ FEE
WATER CLOSET 1 75 OWMA INER Rosemead Const ohn Darner
LD I
ADDRESS 2020 Barnett Way
MAIL
BATH TUB 1 75 f
SHOWER 1 75 CITY L. A. TEL NO
LAVATORY 1 75 ! S CONTRACTOR Owen S lumbar Inc.
SINK 1 75 ! ADDRESS ,4265 N. Baldwin Ave.
DISHWASHER 1 75 CITY In Monte TEL NO ,3-0078
CLOTHES WASHER 1 75 STATE LICENSE NO 231 7�' CLASS LIC C3620
SWIMMING POOL RECEPTOR 1 75
DIST NO CROUP NE CESS BY
LAWN SPRINKLER SYSTEM 1 75 y ` T OI rj
WATER HEATER 1 75 INDUSTRIAL
WASTE APPROVAL off.
GAS SYSTEM OUTLETS 1 75 3 INSPECTION RECORD _ v
OUTLETS OVER
5 PER SYSTEM 30 7-30 �� U/1/p,��l�� ®� /✓�
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Cn
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Plan check fee S R
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPR )Q DATE
Plan check applicant UNDER SL9cB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT �r
r
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES t //
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING `„•
PLUMBING GAS TEST ,} �/ r �, loop
I HEREBY CERTIFY THATLOAM AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED V �
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVECR D RESIDENTIAL OPERTY FINAL ry
SIGNATU RE v
OF PERMITTEE
PERMIT VALIDATION OCKM 0 CASH
PLAN CHECK VALIDATION CK M 0 ceH6 8;n JUL 25 5 D
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