HomeMy Public PortalAbout6310 TEMPLE CITY BLVD_Plumbing__ 79Au7A K■ 91701 -a/YY f
APPLICATION FOR PLUMBING PERMIT
-2
BUIL ING AND SAFETY DIVISION Lot#13
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING631A Temple City Blvd.FIXTURE OR ITEM O FEE
ADDRESSWATER CLOSET LOCALITY e Y
BATH TUB NEAREST
CROSS ST
SHOWER OWNER Faitifaven Development
LAVATORY ADDRESS
MAIL - 8656 E. Huntington Drive
SINK CITY Em a TEL NO 207-9527
DISHWASHER QD CONTRACTOR Owen Days• Plumbing Inc.
CLOTHES WASHER
ADDRESS 4265 N.- B&UWin Ave.
SWIMMING POOL RECEPTOR
CITY El Monte TEL NO
LAWN SPRINKLER SYSTEM STATE (��F�
WATER HEATER LICENSE NO 231 741 LIC
C36-20
GAS
LSYSTEM
,E, OUTLETS D15T QO � E _ D
'rCRS�C^`R INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD o
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTALFEE
Plan check oPPllcant
Nome APPROVALS DATEsIGIUUURE
UNDER SLAB WORK
Address �b
ROUGH PLUMBING
City Tel No GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLN;ATION AMD STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY o11DDUMCES
AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AMD/OR LICENSED M PLUMBING FIXTURES
REQUIRED M LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF AMD INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY UTILITY CO NOTIFIED
SIGNATIURE
OR,PIeIARTE6� FINAL
PLAN CHECK VALI TION c PERMIT VALIDATION M o cASH
POLECYHOLDER: � u_11
POV�CUMBER. 3�TIL / 5-33-e9,i9 - 22 5 D 4 0.0 O a5u