HomeMy Public PortalAbout9537 OLIVE ST_Plumbing__ 7614667-C EIl817 10-67 r✓ L6'
. _ APPLICATION FOR PLUM ING PER T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
9537 Olive
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1.50
d0 OWNER Dick Bogen
1 BATH TUB 1.50 D
ADDRESS 1620 Nelanie Lin"n
1 SHOWER 1.50 '(� CITY Arcadia TEL. NO. 445-1197
2 LAVATORY 1.50 31,90 CONTRACTOR (hien Bros. Plumbing Inco
1 SINK 1.50 Q ADDRESS 4265 North Baldwin Ave o
DISHWASHER 1.50 1 (/ CITY T-31 Nonte TEL. NO. 443-0078
1 CLOTHES WASHER 1.50 A-0
STATE LIC
LICENSE NO. 231 7 1 CLASS C 36
SWIMMING POOL RECEPTOR 1.50DISTRICT NO. GRO ZONE E E BY
LAWN SPRINKLER SYSTEM 2.00O 0.
WATER HEATER 1.50 WASTE APPROVALCD
m
1 GAS SYSTEM OUTLETS 1.50 INSPE TION RECORD AV
OUTLETS OVER .30 ` d
5 PER SYSTEM y
6=
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE 11-0 APPROVALS DATE INS EcroR s!*NATURE
Plan check applicant UNDER SLAB WORK Z
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. NO. HOT WATER HEATER
1 HEREBY 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
LO
S REQUIRED BY LOS ANGELES COUNTY AND STATE OF
OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
HE ABOVE DES RIBED RESIDENTIAL PROPERTY. FINAL
E JACK R. ALLEN, SUPERVISING MECHANICAL EN'G'R.
ITTEE
PERMIT VALIDATION C K O. CASH.
PLAN CHECK VALIDATION CK. M.O. CASH
14f -84230 FEB-14 5 D 1 6.50" Nr
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