HomeMy Public PortalAbout9415 OLEMA ST_Plumbing__ 76A (C-`817)-8-71 ,
" -- APPLICATION FOR PLUMBING PE MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FAUDDLR
Olema. t
Temple City
FOR APPLICANT TO FILL IN (PRINT OR TYPE)
NUMBER FIXTURE OR ITEM (� FEE
WATER CLOSET 1.75
6 OWNER
AIL
BATH TUB 1.75 7
ADDRESS 1010 East Las Tunas
SHOWER 1 .75 CITY San .Gabriel TEL. NOAt 6-9822
LAVATORY 1.75 3 CONTRACTOR Owen Bros. Plumbing, Inc.
SINK 1.75 ADDRESS 4265 No. Baldwin Ave.
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DISHWASHER 1.75 5' CITY El Monte 91731 TEL. NO. 443-0078
/ CLOTHES WASHER 1.75S 41 STATE ry,_1 LIC
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. 231 CLASS C 36
ROCE ED Y
LAWN SPRINKLER SYSTEM 1.75 DISTf�KT NO. GROUP IZONE
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WATER HEATER 1.75 INDUSTRIAL ,
WASTE APPROVAL o
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD (,
OUTLETS OVER
5 PER SYSTEM .30
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P!an check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS PATE I"PECTOR'jeSIPMATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING p
Address GAS PIPING
City Tel. No. GAS VENT
I HEREBY ACKNOWLEDGE THAT I 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
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 LEGAL OWNER OF, AND INTEND TO
RE91DE IN THE ABOVEMR SIDENTI PROPERTY. FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION c .o. cases
PLAN CHECK VALIDATION CK. M.O. CASH
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