HomeMy Public PortalAbout10103 BOGUE ST_Plumbing__ 76 A 667—CE 877 8/68 �
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APPLICATION FOR PLUMBING RMIT
COUNTY OF LOS ANGELES ;I
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ABUILDING
DDRESS I0I03 E. Bo e
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT OF BUILDING LOCALITY
Temple Cit
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST Pal Mal
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER H.'Findley
WATER CLOSET 1.50
MAIL
BATH TUB 1.50 ADDRESS 10103 E BO ],e 0
SHOWER 1,50 CITY Tegiple City TEL. NO. 446
LAVATORY 1.50 CONTRACTOR Pacific C Installers
SINK E50 ADDRESS IO 20 Eo Grand
DISHWASHER 1.50 b CITY Temple City
}� � TEL. NO. 442-7070
CLOTHES WASHER 1.50 STATELIC
LICENSE NO 21898 'CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE PR CESSED BY a
LAWN SPRINKLER SYSTEM 2.00 0
WATER HEATER - 1.50 INDUSTRIAL ZO
WASTE APPROVAL �
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD U
W
OUTLETS OVER .3G
5 PER SYSTEM Z
I —
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEF, ,3 2 00 —
TOTAL —
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
CIL), 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
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RE ENTIAL PR OPE RT FINAL' 111-212
�s
SIGNATURE - JACK R. ALLEN, SUPERV SING MECHANICAL ENG-R.
OF PERMITTEE
If
PERMIT VALIDATION CK. M O. CASH
PLAN CHECK VALIDATION CK. M.O CASH
2. 4 .9 5'%�O',. OO.i 30, 5 0 -3.507