HomeMy Public PortalAbout8854 HERMOSA DR_Plumbing__ CE I141*REV,6/?BI T
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILD
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NUMBER FIXTURE OR ITEM ® FEE AD Hermosa Ave.
WATER CLOSET 6 •' LOCALITY Temple City
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EST
19- BATH TUB 00
CROSSST.
19 SHOWERO OWNER Builders
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LAVATORY MAIL
4: ADDRESS Henrilee Street
SINK O�/T CITYqj< TEL NO. 425-02
DISHWASHER _ 04 CONTRACTOR
Owen Bros . Plumbing
CLOTHESWASHER r. 60 ADDRESS 4265 N. Baldwin Ave .
SWIMMING POOL RECEPTOR
CITY El Monte TEL.NO. 443-007
LAWN SPRINKLER SYSTEM
STATE ` C36-20
WATER HEATER p1 L
ICENSE NO. CLASS
GAS SYSTEM OUTLETSn`f APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER LVA UNDER SLAB WORK —
SPERSYSTEM ROUGH PLUMBING
GAS PIPING 6
0
GAS VENT V
HOT WATER HEATER 0
+GAS
ING FIXTURES
STPlan check feeCO.NOTIFIEDPLUMBING PERMIT ISSUING FEE S u/TOTAL FEE Plan check applicant AN CHECK VALIDATION
Name YJ� UV�
to / 5335
Address
City TEL No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE /1 A
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THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES Y l 8
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION
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HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANGLICENSED AS
REQUIRED BY L05 ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I THE
LEGAL
OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL L O O 6 1.00
PROPEgiV. $
SIGN AT-RE (•_ p O O C b o O C
OF PERMITTEE - Yl�
0531-79
DISTRICTNO. A P CUSSED BY
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INDUSTRIAL
WASTE APPROVAL