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HomeMy Public PortalAbout6136 IVAR AVE_Plumbing__ 76A667A ICE 6178)- 11/76 tlB- FFLL OC A11 MN FOR PLUMS NG pERMff BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM FEE ADDRESS 6136 No Ivar Street WATER CLOSET LOCALITY Tele City NEAREST BATH TUB CROSS ST. SHOWER OWNER Har Bat s LAVATORY MAILk0DRESS 731 S. Garfield Blvd. SINK CITY Alhambra TEL.NO.445-8370 DISHWASHER CONTRACTOR Owen. Broso Plumbing CLOTHES WASHER ADDRESS 4265 No Baldwin gveo SWIMMING POOL RECEPTOR CITY El Monte TEL NO. 3-00 8.. LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO. 211 741 CLASS c36-20 GAS SYSTEM OUTLETS DISTRICT NO. GROUP ZONE PROCESSED BY OUTLETS OVER 5 PER SYSTEM INDUSTRIAL 9L WASTE APPROVAL 0 INSPECTION RECORD U pe LIA Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE a Plan check applicant APPROVALS DATE INSPECTOR'S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING City Tel.No. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE 15 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 ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED'RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OFPERMITTEE FINAL ���,��•� / - d' PLAN CHECK VALIDATION--« PERMIT VALIDATION ( C1 M.0. CASH j~ :OLDER: '7� �/ y ©5 POLICY NUMBER: C,4-6 qOS` ;76 76A667A ICE.81781- 11/76 APPUCcsATQ®lr�,[ [rOR PL UMB�NG PERM191T BUIL ID NG D SAFETY DIVISlY 6136 FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM FEE ADDRESS No Ivar Street WATER CLOSET LOCALITY Temple City D NEAREST + ! BATH TUB CROSS ST. SHOWER. OWNER - Harry Bates LAVATORY / J1/1- MAIL (p VV ADDRESS 731 So Garfield Blvd-State°iB SINK ' CITY Alhambra TEL.NO. 445-8370 DISHWASHER CLOTHES WASHER 13 P11- ADDRESS CONTRACTOR Owen Broso Plumbing 4265 No Baldwin Aveo SWIMMING POOL RECEPTOR \ CITY El .Monte TEL.NO. 443-0078 LAWN SPRINKLER SYSTEM STATE WATER HEATER LICENSE NO. 231 741 c ASS 1336-20 DISTRICT GROUP _- D x. GAS SYSTEM OUTLETS � - � �QNE PROCESSED BY OUTLETS OVER L S PER SYSTEM INDUSTRIAL WASTE APPROVAL 0 INSPECTION RECORD u _ 68t 0 . /f"- �� G7l'7' `7L'1% d7�t1 Gt1�i Lam.-- �• su z Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan check applicant APPROVALS DATE INS-PZCTOR'S SIGNATURE Name UNDER SLAB WORK Address r ROUGH PLUMBING City TeL No. GAS PIPING IHEREBY 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. I HOT WATER HEATER - I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS .> PLUMBING FIXTURES - REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE { GAS TEST LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL ,f tr.'?T"' ZI ""R1 W 1.��.1.✓ PROPERTY. UTILITY CO.NOTIFIED SIGNATURE 'S OF PERM ITT EE FINAL PLALJCHECK VALIDATION �.a[ skK E 'n i h� PERMIT VALIDATION cK. M.o. cnsH POLICY F OLDER:' C2910 c fps v ��� 5 i C� 3 . 3 7.5 0 POLICY NUMBER: C'4 G 131 C' 5-.7;c � av