HomeMy Public PortalAbout5337-5339-5341-5343-5345 VILLAGE CIRCLE DR_Plumbing__ 7SA667 (CE417)- 6/73
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APPLICATION FOR LU B1NG PERMIT
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS v 5345 VICALAM CIRCLE
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY Temple City
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST BMW= AVee
NUMB R FIXTURE OR ITEM FEE CROSS ST.
WATER CLOSET
OWNER Noel Baldwin
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53 city
g BATH TUB 1.t5 f d& ADDRESS W]11 vee
SHOWER 1.PS G�'1 O C) C ITY TEL. NO.
i LAVATORY 1 5 r1 CONTRACTOR Owen Bros. Plumbing, Inc.
Is-
SINK 1 5 1,6'0 ly ADDRESS 26 N. Baldwin Ave.
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DISHWASHER 1 75 CITY TEL. N0.
CLOTHES WASHER 1 75V-1 Monte 441-007A
STATE LIC
LICENSE NO. 231. 741 CLASS 036-20
SWIMMING POOL RECEPTOR 1 75
DISTRICT NO. I GROUP ZONE P CESSE BY
LAWN SPRINKLER SYSTEM 1 75 C> I / p^
WATER HEATER 1 75 INDUSTRIAL �J
WASTE APPROVAL
GAS SYSTEM S• OUTLETS 1175 7 INSPECTION RECORD Q7
OUTLETS OVER
5 PER SYSTEM .30
L1.1
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE I A
APPROVALS DATEI'Ne PES..yO R'S SIGNATURE
Plan check applicant UNDER SLAB WORK -.z#-a'
Name ROUGH PLUMBING
Address GAS PIPINGCity Te Tel. No. GAS VENT
HOT WATER HEATER
i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED '
LICENSED AS REQUIRED BY LOS' ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I A THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DE B ESIDENTIALCPERTY. FINAL .✓?
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION �CK. M.G. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
6 9 7 L2 spy 10 5 D 1 9 0.50 ���