HomeMy Public PortalAbout5927 AVON AVE_Plumbing_3/5/1965_fixtures 78A667•CEJt817 9/63 _. .
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES Lot # 5
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 5927 Avon Ave.
WILLIAM A. JENSEN, SUPT of BUILDING LOCALITY San Gabriel /
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNEA
J B Weber
3 WATER CLOSET $1.25. 3 75 MAIL
1 BATH TUB 1.251 25 ADDRESS em 26 Tle :ky
a
1 SHOWER1.25 1 25 CITY Temple City TEL. NO.
3 LAVATORY 1.25 3 '75
CONTRACTOR Valley PlurnbirW, Co
I SINK 1.25 1 25 ADDRESS 442 W. Fleetwod Place
1 DISHWASHER 1.25 .1 25 CITY Glendora TEL. NO. M 5U93
CONTRACTOR'S STATE
LAUNDRY TUB 1.25 REGISTRATION NO. 207431 COUNTY p
1 CLOTHES WASHER I.25 1 25 "-
DISTRICT NO0..
GROUP ZONE PR 'ESSED BY
1 WATER HEATER 1.50 1 50
1 GAS SYSTEM OUTLETS 1.50 INDUSTRIAL SO INDUSTRIAL O
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 30INSPECTION RECORD V
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_ - APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK ��7 M��LnAI %y
TOTAL FEE' p ROUGH PLUMBING (,��, � jd>� "
19 05 GAS PIPING
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:
v I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST / s/CALIFORNIA OR OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBEDESIDENTIAL PROPERTY. UTILITY CO,...NOTIFIED
SIGNATURE '.,..4;� .J �� �•� o? '..'\.
OF PERMITTEE FINALV f —�
LIDATION ROBERT A. WOOD
CK. M_O. CASH SUPERVISING MECHANICAL ENG'R