HomeMy Public PortalAbout8708 HERMOSA DR_Plumbing__ 76A667 (C EB 17)-4/72
APPLICATION FOR PLUMBING PERMIT {�
COUNTY OF LOS ANGELES �J
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
uarce crrecrs ParaHce TO: BUILDING Hermosa Drive
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
,,an Cabri el
MAIPLICANT.TOPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
FIXTURE OR ITEM @ FEE
R CLOSET 1,75 3p MAILOWNER pawl Friedman
TUB 1.75 'JSPMAI
ADDRESSP.O• BOX 766
ER 1,75 / 7j- CITY Rosemead TEL. NO.572-0231
TORY 1.75 3 ,�O CONTRACTOR en Bros. Plumbin Ino.
1.75 7SADDRESS 1(265 North Baldwin Avenue
ASHER 1.75 � CITY Montee1 TEL. NO. 443-0078
ES WASHER 1'75 STATE LIC
fs� LICENSE NO. 231(µl CLASS C36
ING POOL RECEPTOR 1.75
DISTTCT NO. GRgODUP ZONE �C�$SEDBYSPRINKLER SYSTEM 7.75 Iy `V. '�J��,�l/HEATER 1.75 Ifs INDUSTRIAL
ii ! WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 7J INSPECTION RECORD V
OUT
OVER y�
5 PER SYSTEM .30 O
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Plan Check fee See Reverse �9
FPER.,TTEE
LUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE A S
APPROVALS DATE INSPECTOR'S SIGNATURE
check applicant UNDER SLAB WORK
/ 1Zl!2271
ROUGH PLUMBING
ess GAS PIPING
Tel. No. GAS VENT
HOT WATER HEATER
EREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
TATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ING. GAS TEST
EREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
SED AS REQUIRED BY LOS ANGELES COUNTY ANO STATE OF
RNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
IN THE ABOVE DESC IBE flES,CENTIgL PROPERTY. FINAL
ATU RE
PERMITTEE
PERMIT VALIDATION ce. M.o. CASH
PLAN CHECK VALIDATI N CK. M.O. CASH
r�o cr Hou 7 0 5 A 22.25—
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