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HomeMy Public PortalAbout9816 FLAHERTY ST_Plumbing__ 76A667A CEO 17 fREV 6/78) Qs ' APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES , BUILDING AND SAFETY E FOR APPLICANT TO FILL IN(PRINT OR,TYPE) BUILDING ADDRESS NUMBER FIXTURE OR ITEM ® FEE WATER CLOSET LOCALITY NEAREST 7 BATH TUB- CROSS ST - � Q''✓t- (it/ SHOWER OWNER LAVATORY MAIL ADDRESS SINK CITY TEL.NO DISHWASHER CONTRACTOR 1 i CLOTHES WASHER ADDRESS �n� SWIMMING POOL RECEPTOR '\ +ROUGH `� TEL NO LAWN SPRINKLER SYSTEM LIC WATER HEATER SE,NO CLASS GAS SYSTEM CI—OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETSOVER ER SLAB WORK 711 a?/ � n r �tr � /5 PER SYSTEMk''PLUMBING �6VZj �s"3 f0 rPIPING GAS VENT u 99 HOT WATER HEATER PLUMBING FIXTURES GAS TEST , I' q 1 !es Plan Check fee UTILITY CO NOTIFIED g PLUMBING PERMIT ISSUING FEE$ "� o TOTAL FEE I V FINAL Ali PLAN CHECK VALIDATION Plan check applicant �V P Name '' // Address .1—lo 3 U Y"s i City Tel No I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES , ;2 4 9 7,Q A AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION ' I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS #,a O O o O 5 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 2 O D 1.O O PROPERTY ` SIGNATUREO O O 1'Q 0()27 OF PERM ITTE DISI ICT NO CESSED BY D 6 l 8-79 � . o5 INDUSTRIAL WASTE APPROVAL } 76 A 667 - CE 817 7-69 • . ' APPLIC'ATION FOR PLUMBING• PERM, �j lJ ' COUNTY OF LOS ANGELES _ DEPARTMENT OF COUNTY ENGINEER FSS BUILDING AND SAFETY DIVISION 816 Flaherty JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT -oF BUILDING Temple City •FOR APPLICANT TO FILL IN (PR NT OR TYPE) NUMBER FIXTURE OR•I,TEM` EACH FEE - OWNER WATER CLOSET 1.50 3' Rnwpn MAIL L BATH TUB 1.50 ADDRESS " 1600 Melanie Lane SHOWER - 1.50 CITY Arcadia EL. NO. " LAVATORY 1.50 CONTRACTOR Owen Bros. Plumbing, Inc. _ / SINK 1.50 ADDRESS 4265 No. Baldwin Ave. DISHWASHER 1.50 _ CITY El Monte=91731 TEL. NO. 443- 078 CLOTHES WASHER 1.50 STATE 231 741 LIC - C 3 ' LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROU ZONE P O D B LAWN SPRINKLER SYSTEM 2.00 �� OV ry . / WATER HEATER - 1.50 IJ76 INDUSTRIAL - a ' WASTE APPROVAL O GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD OUTLETS OVER .30 5 PER SYSTEM 0 W O. N Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE $ 2 00 TOTAL FEE c;e,> © APPROVALS DATE INSP 'YOB'S SIGtAVA Plan check applicant PPlUNDER SLAB WORK Name r ROUGH PLUMBING Address GAS PIPING GAS VENT' City Tel. No. HOT WATER HEATER I HEREBY ACKNOWLEDGE—THAT 1 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 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 _ aRESIDETHE ABO DE CRIBED RESIDENTIAL PROPERTY. FINALEJACK R. ALLEN, SUPERVISIN HANICAL ENG'R ITTEE PERMIT VALIDATION C K. M O.' CASH PLAN"CHECK,VALIDATION CK• M.o. CASH