HomeMy Public PortalAbout9427 OLEMA ST_Plumbing__ -76A667;,(C E-817)-Ba71
vI i
-'APPLICATION FOR PLUMBING P RMIT {�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS Olema
LOCALITY Temple City
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST. +
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75 MAIL
j BATH TUB 1.75 ! ADDRESS 1010 East Las Tunas
l SHOWER 1.75 1 ' CITY San Gabriel TEL. NO&t 6-9822
LAVATORY 1.75 CONTRACTOR Owen Bros, Plumbingg Inc*
SINK 1.75 ADDRESS 4265 N• Baldwin Ave.
DISHWASHER 1.75 CITYEl Monte 91731 TEL. N0443-0078
/ CLOTHES WASHER 1'75 LICENSE N0.231 741 CLIC LASS
C 36
SWIMMING POOL RECEPTOR 1.75
LAWN SPRINKLER SYSTEM 1.75
DISTRICT NO. GROUP lZONE ROCES D
Q
WATER HEATER 1.75 l 7� INDUSTRIAL `l
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.750 RECORD V
OUTLETS OVER
5 PER SYSTEM .30 z
W
ul
m
P!an check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE ECTOR' S1 NATURE
Plan check applicant UNDER SLAB WORK74
_
Name ROUGH PLUMBING y
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 15 CORRECT AND AGREE TO .COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATELAWS REGULATING +
PLUMBING. GAS TEST
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE SC ED
F TTEE
RESIDENT PROPERTY. FINAL
SIGNATURE
OPERMI
PERMIT VALIDATIONCK. M.O. CASH
PLAN CHECK VALIDATION .CK. M.O. CASH
71143-:-AUG 24 5 D 22:25, c