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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 / 3 7g UM1E✓Z£SG,Ry3 Com - �� C Q OL/T dnl A✓fl'S'7'Fr dvE�� 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 lJL o5z958 n - ._