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HomeMy Public PortalAbout9615-9617 LONGDEN AVE_Plumbing__ (2) 7GA667A(Cr 8178) -4/117 ' APPLI70ulG R PLUMBING PERMIT AND SAFETY ISION Lota8 FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ,, ,,,, NUMBER FIXTURE OR.ITEM ® FEE ADDRESS 9615-Lopim Ave. 9(p / 7 WATER CLOSET LOCALITY Temple City BATH TUBa NEAREST CROSS ST. SHOWER &6 OWNER F ven Rpy4opment LAVATORY06MAIL. ADDRESS SINK CITY Sm Gabriel TEL.NO. 287-9527 DISHWASHER CONTRACTOR OW= BrOS. Plumbing, Inc. CLOTHES WASHER - ADDRESS 65 R. Baldwin Ave. SWIMMING POOL RECEPTOR CITY XL Monte TEL.NO. W-W78 LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO. 231 741 CLASS 036-0 GAS SYSTEM OUTLETS DISTRICT NO. UP ZONE PR ESSE Y OUTLETS OVER '6 0-aix-2-1 v 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL 99 INSPECTION RECORD v N • a Z Plan check fee PLUMBING PERMIT ISSUING FEE$ 0 10 TOTAL FEE' Plan check applicant APPROVALS DATE INS ECTOR'S SIGNATURE Name UNDER SLAB WORK 1.4 Address ROUGH PLUMBING City Tel.No. GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 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 ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE GAS TEST Z+•© LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL - PROPERTY. UTILITY CO.NOTIFIED SIGNATURE Q .0 OFPERMITTEE FINAL PLANICITECK VAL[0_16 Vii �C� ?�=c�c �`�I iro�`{" .� PERMIT VALIDATION CK M.O. CASH C- ?' S.0 0-A94 POLICY HOLDER. � � 22 5 r , • . . . POLICY NUMBER: VV --1 � ,3'3-5'- rp,>ir;a