HomeMy Public PortalAbout8852 HERMOSA DR_Plumbing__ 7GA66'/A l�E
CE at-!!RE V..6p 8) IIUII
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPEI BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
A1999 TEI(Trmn-n Ave-
/ WATER CLOSET /,t l� n LOCALI7Vlemple City
6 6 l NEAREST ® _
BATHTUB � C CROSS ST. /I�YL�f7
SHOWER �� OWNER Township Builders
LAVATORY MAIL
.ADDRESS
SINK 14GAS
Lakewood TEL NO. 425-02DISHWASHER CTOR Owen Bros . Plumbing
CLOTHES WASHER S 4265 N. Baldwin Ave .
SWIMMING POOL RECEPTOR E1 Monte TEL.NO. 443-00LAWN SPRINKLER SYSTEM 231 741 I.C. C36-20
WATER HEATER NO. CLASSGAS SYSTEM OUTLET$ PPROVALS DATE INSPECTOR A SIGNATURE
OUTLET$OVERSLAB WORK ;5-6-7�5 PER SYSTEM PLUMBING _7-"� r<sLdsING S
O
GAS VENT V
I,) F
ATER HEATER FQF
NG FIXTURES W
ST 0-Z- � N
Plan check fee CO.NOTIFIED 8
PLUMBING PERMIT ISSUING FEE$ Ld 19 ¢�
TOTAL FEE Oy . fPlan check applicant ;N CFjECK VALIDATION v
��C.P.�C/Yl GCJ
Name uJ C 15 3 3 S,a�
Address
City Tel.No.
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION AND STATE n 4 64.9 A
THATTHEABOVE 15 CORRECT AND ACRE E TO COMPLY WITH ALL COUNTY ORDINANCES '
AND STATE LAWS REGULATI MG PLUMBING. PERMIT VALIDATION '# o o'o o 05
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE 2 o - 34.00
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY.
0 o a 30.00czi
SIGNATURE ( -�.• ft���1///�'�+ f
OF PERMITTEE l y`A.LY'�'✓\ 053 } -79
DISTRICT NO. OCESSED BY
J' v8' � ✓
INDUSTRIAL
WASTE APPROVAL