HomeMy Public PortalAbout4826 BALDWIN AVE_Plumbing__ (2) i
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADD
isS 826 N. Baldwin A
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1 25 MAIL 0
BATH TUB 1 25 ADDRESS 828 N. Baldwin Ave.
SHOWER 125 CITYTp TEL NO
LAVATORY 125 CONTRACTOR Pac1.f3-c Installers
SINE 125 ADDRESS 10920 E. Grand
DISHWASHER 125 CITY Temple City TEL No442-1234
CONTRACTORS STATE
LAUNDRY fUB 1 25 REGISTRATION NO 211898 COUNTY p
CLOTHES WASHER 125 DISTRICT O GTP ONI PR CE D BY
WATER HEATER 150 0 � �_ r
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GAS SYSTEM OUTLETS 1 50 INDU TRIAL O
WASTE APPROVAL U
OUTLETS OVER 5 PER SYSTEM 90 INSPECTION RECORD
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APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT s 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING �`�/�
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT II A�LEGAL OWNER OF AND INTEND TO
RES IDE IN THE ABOVE DESCRIB RESIDENTI`1L PROPERT UTILITY CO NOTIFIED
SIGNATURE
1 JLoo
OF PERMITTEE FINAL
ALIDATION ROBERT A'WOOD
c1c M o CASH SUPERVISING MECHANICAL ENG R
UL09 5 3 8-0 AUG2 8 5 D 3.50— W