HomeMy Public PortalAbout10144 NADINE ST_Plumbing__ i
78`A -ti CE 817 7-69
r = APPLICATION FOR PLUMBING/ PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGII�iEF.R RISES
BUILDII�iG AND SAFETY DIVISIONDa ss 101 Nadine
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING LOCALIrY Temple City
FOR APPLICANT TO FILL IN PR NT OR TYPE NSAIMT
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1 O OWlIER Milton Bade
BATH TUB 1 0
DAM 20 Birchcroft
SHOWER 110 CST Arcadia TEL NO
LAVATORY I o Q cONmAcTOROwen Bros. Plumbing,Inc.
SINK I so ADDRESS 4265 No. Baldwin Ave
DISHWASHER I soc=El Monte 91/731 TEL No.443-0078
CLOTHES WASHER 1 50 STATE LICENSE NO 231 141 CLASS LIC C
SWIMMING POOL RECEPTOR 1 50 LSTRIC NQ,� aR ZONE D B
LAWN SPRINKLER SYSTEM 2100 c/ CJy a- '
WATER HEATER 10 RA>� LIIAPPROVAL S
GAS SYSTEM OUTLETS 1 50 Cr ON RECOR 41OUTLSZ
5 PER SYSTEMR 30 y L
Vf
Z
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE $ 00
TOTAL FEE APPROVALS IYATe 1 PECT R S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING
1 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 THEADE IBRO RESIDENTIAL PROPERTY FINAL
SIGNATURE JACK R ALLEN sup ERV ME HANICAL ENG R
OF PERMITTEE
PEIiIVIIT VALIDATIO cit M o CASH
PLAN CHECK V DATION CK M o CASH
4
, F �e3301U 50 2.25-