HomeMy Public PortalAbout5344-5346-5348-5350 VILLAGE CIRCLE DR_Plumbing__ 76A667 (CE-817)- 5/73 A.a
APPLICATION F PL�U �1NG PERMIT ;
COUNTY OF LOS ANGELES /7
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS
HARVr am Circle
EY T. BRANDT, COUNTY ENGINEER
lm/— 5350 Vill
LOCALITY Temple City
FOR APPLICANT TO FILL IN (PRINT OR TYPE) CROSS ST. Baldwin Ave°
NUMBER FIXTURE OR ITEM FEE OWNER Noel Baldwin
WATER CLOSET MAIL wan Ave
BATH TUB I.J5 I1 OO ADDRESS a
(� SHOWER 1; 5 oo CITY Temple .City TEL. NO.4}0-3907
LAVATORY 1. ) CONTRACTOR Owen Bros. Plumbing, Inc.
4 SINK 1.7 ( ADDRESS
LF DISHWASHER 1.7 ' CITY El Monte TEL. NO. ��pp
"t`t3-0078
CLOTHES WASHER 1.7 LICESTATNSE NO. 231 741 CLASS C36-20
SWIMMING POOL RECEPTOR 1.7
DISTRICT NO. GROUP ZONE OCES D. BY
LAWN SPRINKLER SYSTEM 1.7 ` �J ,OZONE
WATER HEATER 1.7 INDUSTRIAL Q
WASTE APPROVAL
GAS SYSTEM OUTLETS 1. 5 INSPECTION RECORD U
OUTLETS OVER 0 Q7
5 PER SYSTEM
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INS_VI§CTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING '?
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �y
PLUMBING. GAS TEST 7r
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND• S;TATE OF -
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVED RIB RESIDENTIAL PROPERTY. FINAL s 25-y-0 .-
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
696NOV 10 50 160.50 ,&�8.