HomeMy Public PortalAbout4942 WILLMONTE AVE_Plumbing__ 7,6A 667r.CE els s/ss �
APPLICATION FOR PLUMBING PRMI
T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISIONBUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS Willmonte
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALPPT Temple City
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM EACH FEE CROSS ST.
WATER CLOSET 1.50 Q OWNER i -
BATH TUBI.so f A DRESS 1602 Melanie Lane
/ SHOWER 1.50 CITY Arcadia TEL. NO. 445-1197
LAVATORY 1.50 3 0p CONTRACTOR Owen Bros. Plumbing, Inc.
SINK 1.50 ,� ADDRESS 4265 North Baldwin Avenue
DISHWASHER 1.50 cA7 El Monte 91731 TEL. NO. 4.4.3-0078
CLOTHES WASHER 1.50 � LICENSE NO.STATE `231 741 CLASS LIC C 36
,SWIMMING POOL RECEPTOR 1.50
DISTRICT O. GRO P E SSED BY
LAWN SPRINKLER SYSTEM 2.00 S:C./ y �� a
O
WATER HEATER 1.50 S(Z INDUSTRIAL v
WASTE APPROVAL Z
0
GAS SYSTEM OUTLETS 1.50 IN CTION RECOR H
OUTLETS OVER v
5 PER SYSTEM .30 ?d y
', Z
Plan check fee 25% of above. See-reverse.
PLUMBING PERMIT ISSUING FEE 8 2 Ob
TOTAL FEE
APPROVALS DAT t PECTO SIGNATURE
Plan check applicant UNDER SLAB WORK �Q
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. NO. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 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 GAS TEST
PLUMBING. oe
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCR D RESIDENTIAL PROPERTY. FINAL
SIGNATURE JACK R. ALLEN, SUP RVISING MECHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION M.O. 'CASH
PLAN CHECK VAL ATION CK. M.O. CASH F
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