HomeMy Public PortalAbout5711 NOEL DR_Plumbing__ 76 A 667—CE 817 8/68 I / �' A,/ /i••f ��� �
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERfADDREm
c
BUILDING
GLAMBIE SAFETY DIVISION ENGINEERIOi 1 Drive
COLEMAN W JENKINS SUPT OF BUILDINGyTemple City Calif
FOR APPLICANT TO FILL IN PR NT OR TYPE) NZARIM
CROSS ST Broadway
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1 50 E• J• Keenan
BATH TUB 1 50 Noel Drive
SHOWER 1 so T.
C C. TEL No 2 -9 4
LAVATORY 150 CONTRACTOR W. E. Graham
SINK 1 so ADDRESS 9127 Las Tunas Dr
DISHWASHER 1 so cITT Temple City TEL NO 2�8t69293
CLOTHES WASHER 1 50 STATELIC
LICENSE NO 104466 CLASSY-36
SWIMMING POOL RECEPTOR 1 50 DISTRICT mqy GROUP ZONE ESSED BY
LAWN SPRINKLER SYSTEM 2 00 S D d �� CD
WATER HEATERreplaCe 1 50 1 50 INDUSTRW.
WASTE APPROVAL CD
GAS SYSTEM OUTLETS 1 50 INSPECTION RECO Lvu
OUTLETS OVER
5 PER SYSTEM 30
Z
Plan check fee 25% of above See reverse
PLUAIBINC PERMIT ISSUINC F I E 8 2 00
I'OT4L FEE
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No HOT WATER HEATER
1 HERESY 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
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGA OWNER OF AND INTBND TO
RESIDE IN THE ABOVE OK.... R! TIAL PROPERTY FINAL
vi
SIGNATURE JACK R ALLEN BUPERVI51 HANICAL ENG R
OF PERMITTEE
PERMIT VALiDATIO cK M o CASH
PLAN CHECK VALIDATION CK M o CASH q
1 Arr, 5 8 2 VE .RJ. 5 5 D 3 )0"' 9