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HomeMy Public PortalAbout8837 ELM AVE_Plumbing__ s 76A�' Its APPLOCATOON FOR PLUMBONGI PERMM COUNTY OF LOS ANGELES 6UIL®!NG AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE( BUILDING ADDRESS 8837 E, Elm, Avenue NUMBER FIXTURE OR ITEM FEE'• '' J WATER CLOSET LOCALITY Temple City Calif. 91780 1 bend 3 00 NEAREST BATH TUB. CROSS ST. Muscatel SHOWER' OWNER Richard Auksahun LAVATORY MAIL ADDRESS p SINK CITY TEL.NO. DISHWASHER :CONTRACTOR San Marino Plumbing Service CLOTHES WASHER ADDRESS .1465 .San Marino Avenue SWIMMING POOL RECEPTOR LAWN SPRINKLER SYSTEM CITY San Marino TEL.NO. 796-7116 STATE LIC. WATER.HEATER. LICENSE NO. 78681 CLASS C36 APPROVALS Y DATE (NSP ECTOR S SIGNATURE GAS SYSTEM OUTLETS OUTLETS OVER. UNDER SLAB WORK 7 ,�. 5 PER SYSTEM ROUGH PLUMBING. 'G'AS PIPING GAS VENT HOT WATER HEATER �!p 0 PLUMBING FIXTURES GAS TEST ' Plan check fee UTILITY CO.NOTIFIED PLUMBING PERMIT ISSUING FEE$ 7 00I TOTAL FEE 10 00 FINAL �v Plan check applicant PLAN CHECK VALIDATION " h Name ' Address City Tel.No. 1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE G 2 4 4,:4 A .� THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES - g " AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION" p O O O o'5 , LREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS .. BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE �O'O O 1,O 0 0 NER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL - L / 0,0,0 1 Q 0'0 U ` RE J qq MITTEE O -1.26—79 DISTRICT NO. ROCESSED BY INDUSTRIAL WASTE APPROVAL 781 ©5 APPL0CATI®N FOR PLUM BONG",PERISIRT COUWTY.OF LOS ANGELES BUIL®ING,AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILD ING y ADDRESS 8837 E. Elm, OAA-� NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET LOCALITY Temple City, Calif. "9blOO NEAREST BATHTUB CROSS ST. Muscatel' 1 SHOWER drain 3 QQ OWNER Richard Auksahun MAIL.• LAVATORY ADDRESS 'Same SINK CITY TEL.NO. 1 DISHWASHER 3 QQ CONTRACTOR San Marino Pkumbing Service CLOTHES WASHER ADDRESS 1465 San Marino Avenue SWIMMING POOL RECEPTOR CITY San Marino TEL.NO 796-7116 LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO. 78681'', CLASS C36, GAS SYSTEM OUTLETS APPROVALS DATE -' E OR'S SIGNATURE UNDER SLAB WORK OUTLETS OVER' 5 PER SYSTEM ROUGH PLUMBING GAS PIPING GAS VENT HOT WATER HEATER, PLUMBING FIXTURES GAS TEST Plan check fee UTILITY CO.NOTIFIED f R Nv PLUMBING PERMIT ISSUING FEE$ 7. QQ I1 -n 1� /�ff.� I TOTAL FEE ],3, QQ FINAL P!�! PLAN CHECK VALIDATION . Plan check opplicant_ ` Name Address LLJ C, '. City Tel.No. . '� ��` �Q �`� 0�� -�aDniQ✓�� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE p 2 4 Q 7 A THAT THE ABOVE IS CORRECT AND AGREE TO.COMPLY WITH ALL COUNTY ORDINANCES , AND STATE LAWS'REGULATING PLUMBING. PERMIT VALIDATION 01 I HEREBY CERTIFY THAT I-AM PROPERLY REGISTERED AND/OR LICENSED AS -r - REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE _ 2 O O y O LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL 1 PROPERTY. jZ ., O O O 1 3,0Oit .SIGNATURE , OF PERM ITTEE _ 01,24-79 DISTRICT NO. CESSED BY INDUSTRIAL WASTE APPROVAL