HomeMy Public PortalAbout9917 HOWLAND DR_Plumbing__ 7f A667A ICE 8178) -4/77 '
APPL OCA TQON FOR PLUMB OSI c' PGRM O ►f u
BUILDING AND SAFETY DIVISION l
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
ADDRESS 9917 Howland S'tr'eet
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET LOCALITY Temple City, California
BATH TUB NEAREST
CROSS ST. CSL_
SHOWER OWNER Elnora R. Wittmeier
LAVATORY MAIL 7 HOW an St.
ADDRESS
SINK CITY Temple City TEL.NO. 286-4312
DISHWASHER CONTRACTOR Bryant Heat. & Air Cond. In
CLOTHES WASHER. ADDRESS 1350 E. Las Tunas Drive
SWIMMING POOL RECEPTOR
CITY San Gabriel TEL.No. 286-1141
LAWN SPRINKLER SYSTEM STATE LIC
WATER HEATER LICENSE NO. 221751 C ASS C 2 0
l GAS SYSTEM OUTLETS 3 0O DI TR2 T N .
GRQ Z N PRO SED BY
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OUTLETS OVER CD
5 PER SYSTEM INDUSTRIAL VV
1NASTE APPROVAL C
INSPECTION RECORD
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Plan check fee
PLUMBING PERMIT ISSUING FEE$ 7 00
TOTAL FEE 10 00
Plan check applicant
Name APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address A ROUGH PLUMBING
City Tel.No. GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS A EES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE GAS TEST
LEGAL OWNER OF, ND NTEND TO RESIDE IN THE ABOVE RIBED RESIDENTIAL
PROPERTY. UTILITY COq�OTIREDN
0 0 0
SIGNATURE _
OF PERMIT E FINAL
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT b�LI&JIQN O CK.V M.O. CASH
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