HomeMy Public PortalAbout5710 ROWLAND AVE_Plumbing__ 76A.667A 4• ,
GE 617(REV.6/16)
09
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND.SAFET.Y'
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FI)(TURE.OR ITEM ® FEE ADDRESS '5 71.0 N Rowl and
WATER CLOSET V
LOCALITY Tem e City
NEAREST
BATH TUB CROSS ST.
SHOWER. D OWNER Rosemead Construction
LAVATORY MAIL r
ADDRESS
SINK CITY TEL.NO- . 573-411
DISHWASHER' CONTRACTOR W ri 03. UIIl in , Inc.
CLOTHES WASHER ADDRESS .4'265 N. Baldwin AVe.
SWIMMING POOL RECEPTOR
CITY El Monte, CA TEL.NO, 443-0078
LAWN SPRINKLER SYSTEM STATE LIC.
WATER•HEATER LICENSE NO. 231 741 CLASS C36-20
GAS.SYSTEM OUTLETS 3 APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK .-
5 PER SYSTEM
ROUGH PLUMBING
GAS PIPING 0
GAS VENT u
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST'
Plan Check fee UTILITY CO.NOTIFIED.
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL
LAN CHECK VALIDATICI
Plan check applicant K/P,' ^
Name / u r
Address
City Tel.No.
I HEREBY ACKNOWLEDGE.THAT 1 HAVE READ THIS APPLICATION AND STATE ;9607. 3A
THAT THE ABOVE IS CORRECT AND.AGREE TO.COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION # O'o O o o5
SED AS
REQUIREDREBY CERTIFY BY'LOS ANGELES ACOUNTY AND T I AM P STATE OF GALI ORNERLY REGISTERED ND 'may{pTNAT NAM THE
LEGAL OWNER OF,AND I ND TOR D IN THE A�OVE D IBED RESIDENTIAL 2 0 O `Z'`L O
PROPERTY.
' �1 — 22006
SIGNATURE �f�J/fL� O 1 O-79 79
OF PERM:ITTE V I� 1
DISTRICT NO.O. RE;SB
INDUSTRIAL
WASTE APPROVAL
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