HomeMy Public PortalAbout6306-6308 TEMPLE CITY BLVD_Plumbing__ T•A.ETAI�•ITAPPLICATI N FOR PLUMBING PERMIT
BUILDING AND SAFETY DIV 8 LDb#15
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM O FEE ADDRESS 6306 Temple City Mvd.
WATER CL 'TO44e-U LOCALITY
BATH TUB NEAREST
CW
S
SHOWER 96 OWNER FairhaveI]
LAVATORY MAIL
ADDRESS 8656 E. Hunt-Ingt= rvri
SINK CITY San Gebriej TEL NO
DISHWASHER CONTRACTOR O W BrOS. PJUMbing, IIIc.
CLOTHES WASHER
ADDRESS4265 • BaldwJm ve-
SWIMMING POOL RECEPTOR ����� ry�NrrTAA
CITY ffi. Monte TEL NO AMNJ�S/L/T o
LAWN SPRINKLER SYSTEMSTATE ' 1
WATERHFATER LICENSE NO '231 741 CLASS C36'`20
pGUAST`SEYTSTEEMME OUTLETS DISTfUQNO UP 12N:Er P DB
INDUSTRIAL
5 PER SVSTEMR D — — /
WASTE APPROVAL �
INSPECTION RECORD
39)17 9' Toa' e&,,�-T
PIDn check fee
PLUMBING PERMIT ISSUING FEE E 012
TOTALFEE
Plan check applicant
Nome APPROVALS DATE 145rECTOR 5 SWNVURE
IMDER SLAB WORX
Address
ROUGH PLUMBING ✓ _
Cay Tel No GAS PIPING
I HEREBY ACKNOWLEDGE T"T I HAVE HAD THIS APPLI MN AND!TATE GAS VENT
TIUT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE uws NEGUuiING PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AMD/OR LICENSED AS PLUMBING FIXTU-�RE/$�
REMINED BY LOS ANGELES COUNTY ANO STATE OF CAUFORMA OR THAT I AM THE GAS TEST Lv Z-Lfj
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOV!DESCRIBED RESIDENTIAL
PROPERTYUTIUTYCO NOTIFIED
SIGNATURE
OPPRRMriTEE FINAL o(-/X-2?
PUS HECK SAID TION r`r;Mr.Latif.9ATr V PERMIT VA6IDATION cR No CASH
' "�— v0 9
POLICY w-, GER;/� �G..l 1 ��2�--`'–®"—�' �-`sa
3-3?JUN 22 5 D �� p •so
POLICY NUMBER Y-� j6