HomeMy Public PortalAbout9409 OLEMA ST_Plumbing__ Ul—u 76A667 (C -Bl -8-71
a APPLICATION FOR PLUMBI PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION aooResNs" Olema St.
LOCALITY Temple City
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER John Marshall
WATER CLOSET 1.75
BATH TUB 1.75
ADDRESS 1010 Be L.aS Tunas
/ SHOWER 1 :75 CITY an Gabriel TEL. N(At 9
822
LAVATORY 1.75 CONTRACTOR Owen Bros. Plumbing, Inc,
SINK 1.75 ADDRESS 4265 No. Baldwin'Avee -
/ DISHWASHER 1.75 7 CITY El Monte 91731 TEL. N0.4,3--0078
CLOTHES WASHER 1.75 STATEr�/" LIC
SWIMMING POOL RECEPTOR 1.75
LICENSE NO. 231 CLASS C 36
-
41
- DISTRICT NO. GROU iE. ROC ED Y
LAWN SPRINKLER SYSTEM 1.75 1(�6}
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL C
GAS SYSTEM OUTLETS 1.757 INSPECTION RECORD V
OUTLETS OVER 30 Z
5 PER SYSTEM
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Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE o2 ,yL
APPROVALS DATE ECT0R•s IG TURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING r,
Address GAS PIPING
City Tel. NO. GAS VENT
HOT WATER HEATER
IHEREBY ACKNOWLEDGE THAT I 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 j
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO, NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORN IA OR THAT 1 AM THE LEGAL OWNER OF; AND INTEND TO
RESIDE IN THE ABOVE CRIB D RESIDENTIAL PROPERTY. FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH