HomeMy Public PortalAbout10152 NADINE ST_Plumbing__ �476A66,710E 817) 8 71 1'-
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, APPLICATION FOR PLUMBIN PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS 10152 Ridnine
LOCALITY Temple City '
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM ® FEE OWNER Melton BAhe
WATER CLOSET 1 75 MAIL
BATH TUB 1 75 2r ADDRESS 20 Blrohoroft
SHOWER 1 75 CITY ATC81d1A TEL NO 446-1658
LAVATORY 1 75 o CONTRACTOR Oren Bros. P1umb3ngjnc.
SINK 1 75 ADDRESS 4205 N. Baldwin Ave
DISHWASHER 1 75 7 VCITY El Monte 91731 TEL NO 443-0078
CLOTHES WASHER 1 75 STATE LIC
LICENSE NO 231 741 CLASS C 36
SWIMMING POOL RECEPTOR 1 75
DISTRF T NO„.. GROUP ZONEPP C ED
LAWN SPRINKLER SYSTEM 1 76
WATER HEATER 1 75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 76 INSPECTION RECORD V
OUTLETS OVER
5 PER SYSTEM 30 , _ Z
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1 W
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Plan check fee See reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
121 APPROVALS DATE INSPECTOR 9 SIGNATURE
Plan check applicant UNDER SLAB WORK 7z
Name ROUGH PLUMBING Z,
Address GAS PIPING
City Tel No GAS VENT
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST/ [ L
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 THAT1 AM HE LEGA OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DE IB D 'NTIAL WPE FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION CK Mo cnsH
PLAN CHECK VALIDATION CK M o CA"
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