HomeMy Public PortalAbout9705 LONGDEN AVE_Plumbing__ CE 811(REV.
CE 817 REV.B/78174? pL�b
CSS
APPLICATION OR PLU BING PERMIT
COUNTY OF,LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN IPRINT OR TYPE) ADILDING
DRESS M4 Longden Avenue
NUMBER FIXTURE OR ITEM ® FEE
. WATER CLOSETQ P LOCALITY le C
NEAREST
't-Z' BATH TUB CROSS ST.
�- SHOWER OWNER J. B. Weber Development
LAVATORY 1Z ADDRESS 26 Tewle C7. .Blvd.
1-7- SINK txr CITY le Cl TEL.NO. 444—o 1
7- DISHWASHER (p CONTRACTOR
.Valle Plumb' Co.
J--7,'CLOTHES WASHER ( I ADDRESS
�F42.w. Fleetwood.Pl.
SWIMMING POOL RECEPTOR '
CITY Glendora TEL.NO. 12
LAWN SPRINKLER SYSTEM' STATE LiC.
-,}-Z WATER HEATER LICENSE NO. 209431 CLAS 6'SC42 20
a''7i GAS SYSTEM OUTLETS 6 APPROVALS DATE. INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING ' 3�
GAS PIPING
GAS VENT
all
HOT WATER.HEATER
PLUMBING FIXTURES />
GAS TEST Z��7 f! 12.
Plan check fee UTILITYCO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$ 7.00 /
TOTAL FEEFINAL
Plan check applicant PLAN CHECK VALIDATION /I
Name �J
Address
City Tel.No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE 240 1,3A
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING: PERMIT VALIDATION
.# oa0005
1 HEREBYCERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS ,
REQUIRED BY LOS ANGELES COUNTY AND STATE,OF CALIFORNIA OR THAT I AM THE p O O 7 '3 O O
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL G
PROPERTY.
SIGNATURE 0 - 730 C U'
OFPE.RMI ,
04.26-79
DISTRICT N16. OCESSED BY
INDUSTRIAL
WASTE.APPROVAL