HomeMy Public PortalAbout9030 RANCHO REAL RD_Plumbing_7/10/1975_water fixtures 76A6678(CE-817)- 5/73
APPLICATION FOR -PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER o
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: ADDRESS 9030'Rancho Real Road
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY Temp2,e City
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS.ST.
NUMBER FIXTURE OR ITEM @ FEE DOWNER J. B• Weber Development Co.
Z WATER CLOSET 1.75
MAIL
BATH TUB 1.75 , ADDRESS 5926 Temple City Blvd.
SHOWER 1.75 Oa CITY Temple City TEL. ND.
LAVATORY 1.75 1, -25— CONTRACTORValley P1Umbing CO. of Glendor
SINK 1.75 7. ADDRESS 442 W. Fleetwood Place
DISHWASHER 1.75 �� CITY Glendora TEL. NO. 335-12193
CLOTHES WASHER. 1.75 „6b1 STATE 209431 LIC 6'3C�+2�2
LICENSE NO. CLASSC3 9
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GFIOUP ONE CESS D B
LAWN SPRINKLER SYSTEM 1.75 w�
WATER HEATER 1.75 .p& INDUSTRIAL
WASTE APPROVAL
1 GAS SYSTEM OUTLETS 1.75 ,VD INSPECTION RECORD CD
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OUTLETS OVER 30
5 PER SYSTEM
CD
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant , DD UNDER SLAB WORK7 ted, `�. )
.�
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No.
GAS VENT L
HOT WATER HEATER
LRESIDE
EBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES,
L COUNTY ORDINANCES AND STATE LAWS REGULATING
G. GAS TEST f
EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
AS RECUIRED BY LOS ANGELES COUNTY AND -STATE OF
NIA �OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO /f
N THE ABOVE DESCRIBED RESIDENTIAL:ROPERTY. FINALUREERMITTE
PERMIT VALIDATION OCK .O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
3 T,6R JUL 10 5D 4.0 0 4,9d