HomeMy Public PortalAbout9919 BOGUE ST_Plumbing__ 76A667 - _-
APPLICATLI N FOR PLUMBINGI- ERMIT
COUNTY'OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING-AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS 9919 'Bogue ►St•
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY Temple-City
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST Baldwin Ave.
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
�, OWNER R. Erickson
WATER CLOSET 1.75
MAIL
BATH TUB 1.75 ADDRESS' ` same
SHOWER 1.75 CITY TEL. NO. 28i- I+0
LAVATORY 1,75 CONTRACTOR Pacific Installers
SINK 1.75' ADDRESS 10920 E• Grand
DISHWASHER 1.75CITY Temple City TEL. NOI} Z�7070
CLOTHES WASHER 1.75 STATE LIC
. SWIMMING POOL RECEPTOR 1.75 LICENSE NO 211898 CL'A'SS
DIS RICT NO. GROUP J�NJ�7CESSEE BY '
LAWN SPRINKLER SYSTEM 1,75 7 ` 68 �. _(
WATER HEATER 1,75 �� INDUSTRIAL
WASTE APPROVAL p}
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD U
OUTLETS OVER
5 PER SYSTEM •30 O
C
U
' W
VJ
• Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00 ;
TOTAL FEE l
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check'applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. NO. GAS VENT
l4- G +, -
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I 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 RESIDENTIAL PROPERTY. FINAL
SIGNATURE ( J} , ♦
OF PERMITTEE\
PERMIT VALIDATION CCKM CASH
PLAN CHECK VALIDATION CK. M.O. CASH
FIN AL INS'E"Bri
9�8ru"MAR 24 5 0 4.7 5 ® 8'