HomeMy Public PortalAbout6034 AVON AVE_Plumbing_11/12/1965_water fixtures 76AG67 -CE#817 12-64
1•
' APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREST
ING 603/ Avon
BUILDING AND SAFETY DIVISION ESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUP'T OF BUILDING LITY San Gabriel
FOR APPLICANT TO FILL IN T. Muscatel & Burgharat
NUMBER FIXTURE OR ITEM EACH FEE
OWNER John J. Burghardt
WATER CLOSET $1.25 2 50
1 BATH TUB 1.25 ADDRESS 12 HOl$ted Circle
1 SHOWER 1.25
1 25 CITY Alhambra. TEL.
7 2 LAVATORY 1.25 2 50 CONTRACTOR Lamac Plumbing Co.
1 SINK 1.25 1 '25 ADDRESS 851 " . Front St., 47%
1 DISHWASHER 1.25 1 225 CITY Covina TEL. NO. 339-.2
LAUNDRY TUB 1.25 CONTRACTOR'S Y STAT
REGISTRATION NO-232843COUNTY ❑
1 CLOTHES WASHER 1.25 11 25 DISTRICT NO. GRO ZONE P O SS Y
WATER HEATER L 1.50 1 Q t5
—41 GAS SYSTEM 6 OUTLETS 1'50 l 50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 Q INSPECTION RECORD O
v
99
O
V
W
CL
CO)
Z
APPROVALS DATE INSPEC- sSIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
1 ROUGH PLUMBING
55
TOTAL FEE GAS PIPING _
jigr
I HEREBY ACKNOWLEDGE THAT 1 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 -Q
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST �Q d
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE G
OF PERMITTEE FINAL
LIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
[X-0 7 3 0 3 Nov 12 5 A. 1 65 5 N
:..: A _
c ,