HomeMy Public PortalAbout6242 MUSCATEL AVE_Plumbing__ 76A667C (CE-817,8) -9/75 '
APP.LIC ODFO - LU.MBING PERMIT ,
TEMP
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE). BUILDING 6212 No. MUSCATEL
NUMBER FIXTURE OR ITEM @ FEE ADDRESS•,
WATER CLOSET LOCALITY TEMPLE- CITY
BATH TUB NEAREST LONGD-EN.
CROSS ST.
SHOWER OWNER J.M; WITHERS
LAVATORY MAIL SAME. ;
_
ADDRESS
SINK 3 J00 CITY. " ' TeL.NO. 286-o612
1 DISHWASHER 3poCONTRACTOR L.M. HAMMY INC.
CLOTHES WASHER ADDRESS 25 W.. MAIN•
SWIMMING POOL RECEPTOR CITY AA. TEL. NO202-2151
.
LAWN SPRINKLER SYSTEMLIC
Q
WATER HEATER STATE CENSE NO. i71598 CLASSC-3 B-1 0
GAS.SYSTEM OUTLETS DISTRICT NO. GR�O•UPNE ESSE BY v
OUTLETS OVER J r d" I "�� �I CD
5 PER SYSTEM INDUSTRIAL 7 w
WASTE APPROVAL CL
y
INSPECTION RECORD Z
Plan check fee
PLUMBING PERMIT ISSUING FEE S'
TOTAL FEE 10 .50
1
Plan check applicant'']
Name L.M. HAMM� INC. APPROVALS DATE INSPECTOR'S SIGNATURE
�1
Address 25''W,''MAIUNDER SLAB WORK
N � . .
ROUGH PLUMBING
City ALHAMBRA Tel. No.2 2-2151 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING" HOT WATER HEATER.
PLUMBING.
'i HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DjE;55CR�ESIDTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATU RE
OF PERMITTEE FINAL
PLAN CHECK VALI ATION CK. M.O. CASH' PERMIT VALIDATION cK. M.O. CASH
4_N5 0'r FEB 2 U10.50 1, !t
r• DEPARTKh �r r•�•:s�s�:s!•.Qa�+N(;- WW
'NT OF I3V'tLDINO'ANDLEUMING
COUNTY OF LOS ANGEL ..vX, �
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NATURE F INSTALLATION t.DWRIGT No.: GROUP
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APPLICANT.FILL IN HEAVILY OUTLINED PORTION ONLY•' .. ;. .�s;..
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' TOTAL NUMIER or P7ETU8n��.• STRATIOK.NUMSR
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