HomeMy Public PortalAbout10544 DANBURY ST_Plumbing_5/22/1964_fixtures 76A66�-CER817 5163
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APPLICATION FOR PLUMBING PERMIT TT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERr "t'
BUILDING AND SAFETY DIVISION BU LDI
ADDRESS 1O7µµ DBRbu
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY
Temple City, -
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
' NUMBER FIXTURE OR ITEM EACH FEE -
OWNER
WATER CLOSET $1.25 MAIL
1 BATH TUB 1,15 1 /2 ADDRESS
CITY TEL. NO.
1 SHOWER 1.25 1 25
LAVATORY 1.25 3 `,CJ' CONTRACTOR Oven BTOS Plumbing
1 SINK LIS 1 25 ADDRESS
1 DISHWASHER 1.25 1 25 CITY El Monte TEL. NO. 443-0078
LAUNDRY TUB 1.25 CONTRACTOR'S1STATE
9718l�
REGISTRATION NO. COUNTY ❑
1 CLOTHES WASHER 1.25 1 2 OIST`RICT NO_ ` OUPZONE /CESSE��
1 WATER HEATER 1.50 1 50 r
1 GAS SYSTEM 1 50 INDUSTRIAL
OUTLETS 50 _
0
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
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0
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APPROVALS DATEINSPEC OR SIGNATURE
PERMIT S2 00 UNDER SLAB WORK -(J_
ROUGH PLUMBING-r -7- Z
TOTAL FEE 11 75 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL coUNTr
PLUMBING. ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST _
CALIFORNIA OR THAT 1 AN THE LEGAL OWNER OF,AND INTEND TO -
RESIDE IN,THE ABO E DE BEO RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED 10- *-(f 4
SIGNATURE
OF PERMITTEE
. ., FINAL .
VALIDATION ROBERT A. WOOD
cK. M.o. CASH SUPERVISING MECHANICAL ENG'R
LID9 2 1 4,z y22 5 D 1 8.75" 5
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