HomeMy Public PortalAbout6320 TEMPLE CITY BLVD_Plumbing__ T.A..,:(CC •"APPLICATION FOR PLUMBING PERMIT
BUILD�ETY D ION LOt#10
FOR APPLICANT TO FILL IN(PRINT OR TYPE( BUILDING 6320 Temple City Blvd.
NUMBER FIXTURE OR ITEM 0 FEE
WATER CLOSET SS
LOCALITY R rift
BATHTUB NEAREST
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CROSSST
SHOWER OWNER Fair ven DevelOpm9IIt
LAVATORY ADDRESS 8656 B. Huntington
/ SINK CITY San Gabriel TEL NO 287-9527
DISHWASHER CONTRACTOR oWen BrOS, P IIIC.
CLOTHES WASHER ADDRESS 6 H. Baldwin Ave
SWIMMING POOL RECEPTOR CIT, g Monte TEL NO 1E1�,3--0078
LAWN SPRINKLER SYSTEM
WATER HEATER O LICETE NSE NO 231 741 CLASS C3�
GASSYSTEMOUTLETS pST CT NO P E P ED o
SPERSYS VE D INDl1A 1 09 &- I 8
WASTE APPROVAL G
INSPECTION RECORD
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Plan check fee
PLUMBING PERMIT ISSUING FEE E
TOTALFEE
Plan check applicant
Nome APPROVALS DATE w oR s sre RE
UNDER SUB WORK '
Address ROUGH PLUMBING
City Tel No GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AMUCATICM AND STAR GAS VENT
THAT THE ABOVE ISCORRECT MID AGREE TO COMPLY W IM ALL C W IRY ORDINANCES
AND STATE uWS REGULATING PLVNeING HOT WATER HEATER
I HERESY CERTIFY THAT I AN MOPERLY REGISTERED AMD/OR LICENSED AS PLUMBING FIXTURES
REQUIRED W LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AN THE GAS TEST
LEGAL OWNER OF AND 011[010 TO RESIDE IN THE ABOVE DESCRIBED RESMEIITIAL
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UTILITYCO NOTIFIED
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177 FINAL
PLA At('ERCICVALI I C0P41"ff NSAT/,k®�/1V PERMIT VALIDATION , Mo CAIN
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POLICY NUMBER �� /5-33 ' 6�JUN 22 5 D �.0