HomeMy Public PortalAbout5947 MUSCATEL AVE_Plumbing__ 7 6 A 661—CE 817 8/68 1
• APPLICATION FOR PLUMBING PER T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1.50 OWNER Ra craft Cons I t. Co.
BATH TUB 1.50 DRESS 17 - Woodruff Ave.
SHOWER 1.50CITY Arcadia TEL. No. 445-2u91
LAVATORY 1.50 00 CONTRACTOR Owen Bros. Plumbing An
SINK 1.50 ADDRESS 4265 11o. Baldwin Ave
DISHWASHER 1.50 CITY El C On a TEL. NO.
CLOTHES WASHER 1.50 6 LICENSE NO. 231 141 CLASSSTATE LIC
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO GROUP ZONE PRO S D BY >-
LAWN SPRINKLER SYSTEM 2.00 -.5-, ()k � V
WATER HEATER 1.50 _ INDUSTRIAL
WASTE APPROVAL o
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD ►v
OUTLETS OVER 30 T�
5 PER SYSTEM
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEF, g 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK •-17=7o
Name ROUGH PLUMBING p
Address GAS PIPING _i/_75 6
GAS VENT
City Tel. NO. HOT WATER HEATER
LIBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
TE THAT TME ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
LL COUNTY ORDINANCES AND STATE LAWS REGULATING
G. GAS TESTEBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
N,THE ABOV ESC D RESIDENTIAL PROPERTY. FINAL
URE JACK R. ALLEN, SUPE VISI HANICAL ENG'R.
RMITTEE
PERMIT VALIDATION C j M.O. CASH
.PLAN CHECK VANDATION CK. M.O. CASH
! Ott_ 4 U 9 LC-- Fuii;16 5 D 1 8.5 0-