HomeMy Public PortalAbout5631-5633-5635 NOEL DR_Plumbing__ 7BA667 08817 7-91 APPLICATION FOR PERMIT
REP MINT OF NG AND SAFETY PLUMBING
COIINTY OFF LOS LOS ANGELES
WILLIAM J. FOX, Omer ENGINEER
FOR APPLICANT TO FILL IN DIBTRIrg). I3RI3UFj ZMNEFLRMIT NIJ.
PLUMBER ` READY FOR
RECEIVED BY DATE ISSUED
/ • FIRBTINSPBCTION
ADDRESS /� S
• BUILDING - .�
CITY TEL.No ADDRESS
COUNTY /+ LOaALITY (,I
SE NO PIR B �/
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riilao4ii FEES aROSB ST. •
NUMBER TYPE of FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 050 m ADDRESS e a ove/G
BATH TUB ago CITY TEL No =27
SHOWER ® coo I HEREBY ACKNOWLEDGE THAT 1 HAVO READ THIN
LAVATORY (WASH BASIN) 9350 APPLICATION AND STATIC THAT THE AB IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN RINK ® ago AND STATE LAWS REGULATING PLUMBING
I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY @ ago ANGELES COUNTY LICENJIF. ORAL AM 6 LEGAL OWNER
OF THE RESIDENTIAL PE D -BED ABOVE.
GAB SYSTEM OUTLETS O BO SIGNATURE OF
WATER HEATER 0513 PERMITTE
SLOP BINK ago INSPECTION RE
FLDQR BINK ® 0.50
FLOOR DRAIN 41 ago i Z io Sv- Aj C. L
DISHWASHER ® ago
DRINKING FOUNTAIN ® ago
URINAL O SO J
HOUSE SEWER ® O BO _Z
MISCELLANEOUS D
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APPROVALS
DATE INBPEOTOR'B NAME
ROUSH PLUMBING
•
GAB PIPING
GAB VENT
CESSPOOL ® IOO CESSPOOL
SEPTIC TANK! SEPTIC TANK
DRAIN ( ) PIT ( ) Ica SEWER
PERMIT too GAS TEST
TOTAL FEE
UTILITY CO NOTIFIED
#
•./ FINAL
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76M67-C.X8I9 12/59, TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY
OFCOUNTYDEP RTIAET NG R
B. SL it uM NDs°
ouNADDRESS
WILLIAM A JENSEN SUPT of BUILDING
LOcmm
FOR APPLICANT TO FILL IN NNZAREST 40,
I CROW or
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET NAM
RATH TUB DRESS CfZjCf •
SHOWER Cny i=NO
LAVATORY CONTRA OR
sm ADDRESS
DISHWASHER CITY TEL. NO �'✓�l15
CONTRA R S BTATE
LAUNDRY iQR REGDI 'SON NO D COIIN PY
(R,O3SFS WASHER DISTRICT GR RO BY
WATER HEATER Q � , V r
GAS SYSiENI RIDuSTBIAL
WASTE APPROVAL
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APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ E oo UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY TH I AM RELY RKGI8TERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED Y LOS LES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT AN LEGAL OWNEROF THE ABOYK
DESCRIBED RESIDENT P TILITY CO NOTIFIED
SIGNATURE
OF PERMI FINAL
®r r VAI.tDATI�ROBERT A WOOD
CE e o CASN SUPERVISING MECHANICAL ENG R
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