HomeMy Public PortalAbout6263 MUSCATEL AVE_Plumbing__ 76A6¢71 CE 8174687-
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 6 Muscatel Avenue
JOHN A. LAMBIE• COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY .�
_ 1
FOR APPLICANT TO FILL.IN PR NT OR TYPE) a NEAREST
CROSS ST. d jU
NUMBER FIXTURE OR ITEM EACH FEE
'OWNER
`2 WATER CLOSET 1.50 O�
1 BATH TUB 1.50 d HAM
ADDRESS 1010 East Las Tunas
1 SHOWER 1.50 o CITY Temple City TEL. NO. 286-9822
2 LAVATORY 1.50 d Q CONTRACTOR Owen Bros. Plumbing, Ince
1 SINK 1.50 O
ADDRESS 4265 North Baldwin Ave.
1 DISHWASHER 1.50 —p CITY El Monte f TEL.NO."3-0078
1 CLOTHES WASHER 1.50 --� STATE 231 741 LIC C 36
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.56 DISTRICT N GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00 �7 `v /�/
1 WATER HEATER 1.50 S INDUSTRIAL
WASTE APPROVAL
1 GAS SYSTEM OUTLETS 1.50 �C.) INSPECTION RECORD
OUTLETS OVER 30
5 PER SYSTEM Lu
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ti N
0
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE
APPROVALS PATqroR•s 5jGNhTURE
' Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City., Tel. No. HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AN STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND[OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE D CRIBED ESIDENTIAL POPE FINAL
4 •
SIGNATURE JACK R. ALLEN, SUPERVISI ANICAL EN'G-R.
OF PERMITTEE
PERMIT VALIDATION CK M.O. CASH
PLAN CHECK VALIDATION C O. CASH
ff-.9:76 0, 7G APR 2 g 5 D 1
gTJELDIRd' . ,': 5100r.TCATi N,ro1C
C®
. - PLUMBING�.
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