HomeMy Public PortalAbout9020-9022-9022 1/2-9024-9026-9028 RANCHO REAL RD_Plumbing_1975-07-10 76A667(CE-617)- 5/73
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APPLICATION FOR PLUMBING PERMIT
DEPARTMENT OF COUNTY ENGINEERo202-o?o?y-ay-°2'6
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS 902 Rancho Real Road
HARVEY T. BRANDT, COUNTY ENGINEER , LOCALITY T!5??:!) City
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1,75 OWNER J. B. Weber Development Co.
MAIL
BATH TUB 1.75 ADDRESS 5926 Temple City Blvd.
SHOWER 1,75 CITY Temple City TEL. NO. 286-2818
i LAVATORY 1.75 1 CONTRACTORValley Plumbing CO.Of Glendora
SINK 1.75 •� ADDRESS 2 W. Fleetwood Place
DISHWASHER 1.75 5� _ cin. Glendora TEL. No. 335-1293
CLOTHES WASHER 1.75 0 STATE 20g 1 LIC C 6 SCIF2�2
LICENSE NO. 3 CLASS 3
SWIMMING POOL RECEPTOR 1.75
DISTRICT N0. GROUP NE PR ESS Ey BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75ro-,90-75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 16tto INSPECTION RECORD v
OUTLETS OVER CC
5 PER SYSTEM .30 CD
H
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W
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS. DATE INSPECTOR'S SIGNATURE
Plan check applicant ! �� UNDER SLAB WORK ^� �lyr.' Phi � �
Name ROUGH PLUMBING
Address GAS PIPING ��.'�
City Tel. No. GAS VENT
HOT WATER HEATER
1 HEREBY 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 ' �Z�S
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
RESIDE IN THE ASOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE
OF PERMITTE Gv
PERMIT VALIDATION cK. .O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
37 '79.JUL 10 50 1 3 9.5 0 A98