HomeMy Public PortalAbout9532 LAS TUNAS DR_Plumbing__ 76A667A(CE817A) - 8/75 -G=�
APPLICATIO MB PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO: ADDRESS 9532 E. Las Tunas Drive
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY Tem
gple Cit
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR-ITEM @ FEE CROSS ST. -
OWNER Te le �,'1
WATER CLOSET
MAIL
t�y Nutrition
BATH TUB ADDRESS 9532 E. Las Tunas Drive
SHOWER CITY Temple Ci ty TEL. NO- 286-2452
LAVATORY CONTRACTOR john tS Plumbing
SINK ADDRESS 9125 E. Las Tunas Drive
DISHWASHER CITY TEL. NO.`28L',,,3'�2�
CLOTHES WASHER STATE Q LIC
SWIMMING POOL RECEPTOR LICENSE NO. 279607 CLASS C DISTRIC NQ �aBBI4R ZOfYE CSSED Y
LAWN SPRINKLER SYSTEM C�e5// ✓moi .?�.�
WATER HEATER INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM �J
O
b
u
661
H
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
-
Plan check applicant
UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel..No. GAS VENT
HOT.WATER HEATER ,
I WT_HE Y.ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND ATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
TH ALL COUNTY. ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT,I AM THE LEGAL OWNER OF, AND INTEND TO ,y _
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL�PROPERTY. FINAL
SIGNATURE
OF PERMITTEE }�
PERMIT VALIDATION CK. TM,�:° °cnsA .5
PLAN CHECK VALIDATION CK. M.O. CASH 2 ° ° 1,O 0 0
IO O O J 0 0 0 x