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HomeMy Public PortalAbout6033 GOLDEN WEST AVE_Plumbing__ f. 76A667A CE 817(REV.6/78) C5 _ APPLICATION ®PPLICA ®w�®gm 1 FOR p�..�p® 9 LU IN E FSM I T' COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADILDING DRESS 6035 Golden West s NUMBER FIXTURE OR ITEM @ FEE T LOCALITY Temple City WATER CLOSET U NEAREST BATH TUB CROSS ST. SHOWER OWNER Nick Gomez LAVATORY MAIL ADDRESS 11915 Eberle Street SINK CITY Cerritos TEL.NO.924-4580 DISHWASHERS CONTRACTOR Owen Bros. Plumbin Inc. CLOTHES WASHER L/ ADDRESS 4265 N Baldwin Ave. SWIMMING POOL RECEPTOR clrY El Monte TEL.NO- 443-0078 LAWN SPRINKLER SYSTEM STATE CLASS C36-20 WATER HEATER LICENSE NO. 231 41 GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING }} GAS PIPING -ILI0 O GAS VENT d HOT WATER HEATER PLUMBING FIXTURES GAS TEST O d a Plan check fee UTILITY CO.NOTIFIED i o� PLUMBING PERMIT ISSUING FEE$ TOTAL FEE FINAL PLAN CHECK VALIDATION Plan check applicant Name 6J C 1,5-33 ,33 2 7 6 U 8 A Address We c o o o o 5 City Tel.No. �P 2 o - 49.00 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES c 0 O 4 9 0 AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION V 0 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS I 0 7,0 7 9 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 +/ 7�- / _ ``n IDc ���`/E_ C a K_r PROPERTY. /b / /V%'V SIGNATURE OF PERM ITTEE DISTRICT NO. PROCESSED BY INDUSTRIAL WASTE APPROVAL 76A667A ., CE 817(REV.6/78) ©s APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN IPRINT OR TYPE) BUILDING ADDRESS 6033 Golden West NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET LOCALITY Temple Cit NEAREST BATH TUB CROSS ST. SHOWER OWNER Nick Gomez MAIL LAVATORY ADDRESS 11915 Eberle Street SINK CITY Cerritos TEL.NO.924-4580 DISHWASHER CONTRACTOR Owen Bros. Plumbing Inc CLOTHES WASHER ADDRESS 4265 N. Baldwin Ave. SWIMMING POOL RECEPTOR ,CITY El Monte TEL.NO. 443-0078 LAWN SPRINKLER SYSTEM STATE WATER HEATER LICENSE NO. 231 741 CLASS C36-20 GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING }� GAS PIPING '' en d GAS VENT o HOT WATER HEATER V rf PLUMBING FIXTURES lam) GAS TEST Nril Plan check fee UTILITY CO.NOTIFIED PLUMBING PERMIT ISSUING FEE$ � `'3�a �✓_``�-'�- � � �` �` 'z"JE FINAL TOTAL FEE do CL Plan check applicant PLAN CHECK VALIDATION �7`6 4�7 A Name WC /S33 S2- 2 a - 49.00 Address City Tel.No. 0 0 o r l O O 0C-j I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES .I 1,07-79 AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE %a /•���y LEGAL OWNER OF,AND INTEND TO RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL f/ 6 7 PROPERTY. SIGNATURE OF PERMITTEE DISTRICT NO. OCESSED BY VVVv INDUSTRIAL WASTE APPROVAL