HomeMy Public PortalAbout9605-9607 LONGDEN AVE_Plumbing__ 76AG67A(A 81713) -4/77 r
APPLICATION FOR PLUMBING PERMIT
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BUILDING SAFETY'DIV LOCO
FOR APPLICANT TO FILL IN(PRINT OR TYPE( BUILDING Ln
NUMBE FIXTURE OR ITEM ® FEE ADDRESS 960 LOngdon Ave.
WATER CLOSET LOCALITY Temple City
BATH TUB `, NEAREST
V CROSS ST.
SHOWER V OWNER Fairha . Develo t
LAVATORY V MAIL
ADDRESS 8b56 E. Huntington Drive
SINK CITY San Gabr-iel - TE..NO:287=9527
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DISHWASHER CONTRACTOR
� - Owen Bros. Plumb' Inca .
CLOTHES WASHER
ADDRESS 6j N...Baldwin AVed. e
SWIMMING POOL RECEPTOR CITY El Monte 'TEL NO. FL+•1✓✓—m
LAWN SPRINKLER SYSTEM
WATER HEATER bo
LICENSE NO. 231741 CLASS C3
GAS SYSTEM OUTLETS DIST ICI'NO. R, ZOME I ROC D BY
OUTLETS OVER r7
5 PER SYSTEM INDUSTRIAL v
WASTE APPROVAL C
INSPECTION RECORD
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Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE.
Plan check applicant
APPROVALS DATE _INjK9TOWSSIGNATU
Name
UNDER SLAB WOR
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALLCOUNTY ORDINANCES HOT WATER HEATER
AND STATE LAWS REGULATING PLUMBING.
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
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OF PERMITTEE FINAL
PLA�C /kt.,T*• r.0Nro PFN9 TIg01 PERMIT VALIDATION ` ten M.O. CASH
POLICYHOLDER: ��� 22 5 D 7
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