HomeMy Public PortalAbout4410 TEMPLE CITY BLVD_Plumbing__ 7.AB.7AICCV701 11/)6 elf/-� I � a
APPLICATION FOR PLUMBING PERMIT
' BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDINGLDESS f 0 N. Temp18 City Blvd.
NUMBER `FIXTURE OR ITEM @ f E
WATERCLCISET 0 LOCALITY
Temple City
NEAREST
BATH TUB Q CROSSSI
SHOWER OWNER MurrayLand & Dev
LAVATORY MAIL
ADDRESS 3606 N. Rio Rondo Ave*
SINK CITY RosemeadTEI. No 4G3-1579
DISHWASHER CONTRACTOR Owen BMS. Plumbing, InC.
CLOTHES WASHER ADDRESS 4265 N. BSldxin Ave��.��} /y�r�
SWIMMING POOL RECEPTOR OO, Monte TEL NO Y4l-W78
LAWN SPRINKLER SYSTEM �,�j(J
STATE
WATER HEATER T ' LICENSE NO 231 741 CLASS C3' �"
GAUUTSLLSYSTEEMEE OUTLETS V DISTRICT NO GROUP ZONE DBV
OPERSVSTEMR /-7 /fes
S INDUSTRIAL
WASTE APPROVAL lO.►
INSPECTION RECORD
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Plan check fee
PLUMBING PERMIT ISSUING FEE E
TOTAL FEE
Plan check apokont
APPROVALS DATE SPEC OR 551GNA%RE
Name LANDER SLAB WORK Z Lf
Address ROUGH PLUMBING
Clty Tel No GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ T M APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO CONKY WITH ALL COUNTY ORD WANCES
Alm STATE LAWS REGULATING PLUMBING HOT WATER HEATER
I HEREBY CENTCY THAT I AM PROPERLY REGISTEREO AND/OR LICENSED AS PLUMBING FIXTURES'
REOUINED by LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST ilt-AA.✓
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESmENTIAL
PROPERTY IUTILITYCO NOTIFIED
SIGNATURE
OFPERMTTTEC FINAL
PLAN CHECK VALIDATION CK No CASH PERMIT VALIDATION CR M o CASH
Cts.Z •, J GP /LL s 5O 1 2 `7.5 0
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