HomeMy Public PortalAbout6022 AVON AVE_Plumbing_11/12/1965_water fixtures 7GA667 -CEVS17 12 64
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDINGADDRESS 6022 Avon
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY San Gabriel
FOR APPLICANT TO FILL IN CROSS ST Muscatel & Bur hardt
NUMBER FIXTURE OR ITEM EACH FEE OWNER John J. Burghardt
2 WATER CLOSET $125 2 50 X12 golSted Circle
l BATH TUB 1 25 1 2 ADDRESS
CITY Alhambra TEL No( T 24071
SHOWER 125 T�
LAVATORY 125 0 CONTRACTORLamac Plumbing Co.
SINK 1 25 1 2 ADDRESS 851 W. Front St.
DISHWASHER 125 2 CITY Covina TEL No339-2479
LAUNDRY fUB 1 25 REGISTRATION NO 232CONTRACTOR S843 STATE
COUNTY ❑
CLOTHES WASHER 125 DIST RIC O GRgJ{8 Z N� P B
]- WATER HEATER _ ISO 1 50 L ra-
SYSTEM 6 OUTLETS 1 50 0 INDUSTRIAL
WASTE APPROVAL d
OUTLETS OVER 5 PER SYSTEM 30 0 INSPECTION RECORD 0
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APPROVALS DATE INSP S SIGNATURE
PERMIT s 2 00 UNDER SLAB WORK 4, 4 J,
ROUGH PLUMBING
TOTAL FEE 1 161 55 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTum—
LICE
NSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE D SCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTE
FINAL
DATION ROBERT A WOOD
cK M o CASH SUPERVISING MECHANICAL ENG R
LALO 7 2 9 7 NOV 12 5 A 16.5 5 N 4