HomeMy Public PortalAbout5930 AVON AVE_Plumbing_3/5/1965_fixtures 78A867-tt,V817 9/63 '
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES Lot # 12
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 5930 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 OWNER J. BO 14eber DevO CO®
3 WATER CLOSET $1.25 3 75 MAIL
1 BATH TUB 1.25 1 25 ADDRESS 5926 Temple City Blvd,
2 SHOWER 1.25 2 50 CITY Temple City TEL. NO.
3 LAVATORY 1.25 3 75 CONTRACTOR Valley Plumbing Co.
1 slNa l:zs 1 25 ADDRESS 442 W. Fleetwood Place
1 DISHWASHER 1.25 ti 1 25 CITY Glendar'a TEL. NO. Ed 51293
CONTRACTOR'SSTATE ❑
LAUNDRY TUB 1.25 REGISTRATION NO. 20931 COUNTY ❑
1 CLOTHES WASHER 1.25 1 2 DISTRICT NO. GROUP ZON . P ESSED BY
1 WATER HEATER 1.50 1 50 _
1 1.50 1-150 INDUSTRIAL. D
GAS SYSTEM OUTLETS WASTE APPROVAL O
OUTLETS OVER-5 PER SYSTEM .§0 30 INSPECTION RECORD V
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APPROVALS - DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING v .�
TOTAL FEE 20 �30 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 'I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF w GAS TEST
CALIFORNIA.OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
. RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. u. UTILITY . NOTIFIEDV
i
SIGNATURE
OF PERMITTEE
FINAL
ALIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R