HomeMy Public PortalAbout5946 AVON AVE_Plumbing_3/5/1965_water fixture 76A667 -CE-4817 9'63
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FDR
JOHN A. LAMBIE. COUNTY ENGINEER 5 Avon Ave
WILLIAM A. JENSEN, SUPT OF BUILDING
San Gabriel
FOR APPLICANT TO FILL IN . %'
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NUMBER FIXTURE OR ITEM EACH FEE OWNER J. B. Weber Dev. Co.
3 WATER CLOSET $1.25 3175
1 axrH TUB 1.25 1 25 ADDRESS 5926 Temple City Blvd.
2 SHOWER 1.25 2 50 CITY Temple City TEL. NO.
LAVATORY 1.25 3 75 CONTRACTOR Valley Plumbing Co.
1 SINK 1.25 1 25 ADDRESS /„4,2 W. Fleetwood Place
1 DISHWASHER 1.25 1 25 CITY Glendora TEL. NO. Ed 51293
CONCTOR'S STATE
LAUNDRY TUB 1.25 REGIS RATION NO. 209431 COUNTY �❑
1 CLOTHES WASHER 1.25 1 25 DISTRICT NO. GROUP ONE ,
\ :C€SSED BY
1 WATER HEATER 1.50 1 50 'L T_ }
1 GAS SYSTEM OUTLETS 1'50 1 50 INDUSTRIAL
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 30 INSPECTION RECORD u
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 1 20130 GAS PIPING
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I HEREBY ACKNOWLCDGE 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
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST
RESIDE IN, THE ABOVE DESCRIBED ESIDENTIAL PROPERTY. UTILITY CO. OTIFIED
SIGNATURE -L- �1� , fl� t�f- _..
OF PERMITTEE LKK
FINAL
All f'/- ," '
;'VALIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R