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76A667-CE817 12/59 —
�qq�k APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING A;JENSEN.
AFETY DIVISION BUILDING
JOHN A. L ACOUNTY NGINEER ADDRESS "Tracts 26026 A6/6-11
WILLIAM A. SUPr of BUILDINGLOCALITY San GAriel
FOR APT TO FILL IN Coss ST. Garibaldi & Burbbn
NUMBER FIXTURE OR ITEM
OWNER Monarc Estates
WATER CLOSET11518 Lambert
MAIL
ADDRESS -
BATH TUB CITY E1 Monte TEL. No. Gi 31761
SHOWER CONTRACTOR alley Plumbing CO.
LAVATORY ADDRESS 442 W. Fleetwood P1.
SINK
DISHWASHER CITY Glendora TEL. NO. Ed 5-12
CONTRACTOR'S STATE- ❑
LAUNDRY TUB REGISTRATION NO. 160847 COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP I ZONE I PROCESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD y,
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10 O1.00 PER ITEM
R FDDCTURE $ /0 dU APPROVALS DATE IN PECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK 4411
TOTAL FEE ROUGH PLUMBING . It
GAS PIPING A�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT/1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES yr A
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEO OWNER OF THE ABOVE
DESCRIBED RESIDENTI ROP TY. UTILITY CO.NOTIFIED I
SIGNATURE 1I
OF PERMITT i
OF ALIDATION ROBERT A. WOOD,
cK R.0. CASH SUPERVISING MECHANICAL ENG'R
'02 2 5 7 \' FEB 5 A 1 2 .a w
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9803060015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: S PA I D BUILDING SS:
TR: 26026 LT: 9 8615 HALDEMAN ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917752636
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
5386-007-060 - 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: G2 LOCALITY: TEMPLE CITY
63 WATER PIPING BR/FIX 7.00 FIX 47.25
TOTAL FEES 75.00 ISSUED ON: PROCESSED B S .
03/06/98 UT 03/06/99
OWNER: TEL. NO: FINAL DATE FINAL F��
i CODE:
KELLS ROBERT J;ELIZABETH J (818) 285-3464- 1 1 I
8615 HALDEMAN ST �, 1
SGAB 917752636 DESCRIPTIONF WOR
REPIPE 7 FIXTURES
APPLICANT: T
MASTERSERV, INC. (800) 806-7374-
SPECIAL CONDITIONS:
SELES c®
CONTRACTOR: TEL. NO: ®� ���� APPROVALS DATE INSPECTOR SIGNATURE
MASTERSERV INC. (818) 957-8985-
3502 N. VERDUGO RD. LIC. NO UNDER SLAB WORK
GLENDALE, CA 91208 580017/C36
WATER SERVICE
ARCHITECT 0 G L. NO: ROUGH/ PLASTIC Y/N METAL Y/N
PLUMBING
LIC. N0: GAS
PIP
ING
GAS VENT
WATER HEATER
- --- - -- - -- - -f
PLUMBING Ff RES
-
GAS TEST
UTILITY COMPAN-7-077F5
CWV
GRAY WAT9 SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508