HomeMy Public PortalAbout6041 AVON AVE_Plumbing_11/12/1965_water fixtures 76AG67 C;#81�12 64
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
ADDRESS 60 1 A40A
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
San Gahri P1
FOR APPLICANT TO FILL IN NEAREST
ARS ST muscatel & Rurgharflt
NUMBER FIXTURE OR ITEM EACH FEE OWNER John J. Eur hardt
WATER CLOSET $12550 MAIL
BATH TUB 125 ADDRESS #12 Holsted Circle
SHOWER 125 CITY Alhambra TEL NO
LAVATORY 125 CONTRACTORLamac PlumbingCO.
SINN 125 ADDRESS 851 W. Front St.
DISHWASHER 125 CITY Covina TEL NO _
LAUNDRY TUB 1 25 REGISTRATION N0232843 COUNTY ❑
CLOTHES WASHER 1 25 DISTRICT NO GRO ZONE XSSPDBY
WATER HEATER 1 50
GAS SYSTEM 6 OUTLETS 1 50 1 O INDUSTRIAL
WASTE APPROVAL a
OUTLETS OVER S PER SYSTEM 30 INSPECTION RECORD
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* APPROVALS DATE INSP TOR 5 SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK �� I
ROUGH PLUMBING
TOTAL FEE 1615 r) GAS PIPING
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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
1HEREBY 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 I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED v
SIGNATURE f
OF PERM ITTE FINAL
VALIDATION ROBERT A WOOD
CK M O CASH SUPERVISING MECHANICAL ENG R
LAE07302n Nov 12 5 A 16.55«