HomeMy Public PortalAbout6040 AVON AVE_Plumbing_11/12/1965_water fixtures 75AG57 CEt"17 12 64
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FEE
60J+0 Avon
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN IN JENKINS SUP T OF BUILDING San Gabriel
FOR APPLICANT TO FILL IN 77
NUMBER FIXTURE OR ITEM EACH FEE
ry Sohn J, llurghprdt
WATER CLOSET $1 25 / MAIL
BATH TUB 1 25 1 25ADDRESS
2 SHOWER 1 2 O CITY TEL NO
LAVATORY 125 5 00
CONTRACTOR Lamsc Plumbidg Co.
SINs 125 1 25 ADDRESS 851 W. Front St.
1 DISHWASHER 125 1 Z5-
CITY TEL NO
CONTRACTOR S
LAUNDRY fUB 125 REGISTRATION NO 232843 COUNTY ❑
CLOTHES WASHER 1 25 Z25 R
DISTRIC NO GR ZONE O 5 BY
WATER HEATER 1 50 1 50
GAS SYSTEM 6 OUTLETS
1 50 INDUSTRIAL
CWASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD
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0
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APPROVALS DATE INSPEC OR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 2 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 1 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE D CRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE '
OF PERMITTE
FINAL
/ /ALIDATION ROBERT A WOOD G
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