HomeMy Public PortalAbout5933 AVON AVE_Plumbing_3/5/1965_fixtures 76A667f-C E#81 7 9/63
APPLICATION FOR PLUMBING6 I�[�I�Rlil T
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FADD
NG
JOHN A. LAMBIE, COUNTY ENGINEER SS 5933 Avon Avec
WILLIAM A. JENSEN, SUPT OF BUILDING ITY San Gabriel
FOR APPLICANT TO FILL IN NEAREST
CROSST. f
NUMBER FIXTURE OR ITEM EACH FEE
2 WATER
OWNER J. Be Weber D:evo Co,
MAIL
CLOSET $1.25 50
1. BATH TUB 1.25 1 25 ADDRESS 5926 Temple City Blvd,
1 SHOWER 1.25 25 CITY Tern-ole Cit T TEL. NO.
2 LAVATORY 1.25 2 50 CONTRACTOR Valley Plumbing Co,
.1. SINK 1.25 1 25 . ADDRESS 442 W. Fleetwood Place
DISHWASHER 1.25 25 CITY Glendora TEL. NO. Ed 51293
LAUNDRY TUB 1.25 CONTRACTOR'S 209431 COUNTY STATE El
-. REGISTRATION NO.
1 CLOTHES WASHER 1.25 25 DISTRICT NO. GROUP ON PRkJE SED BY
WATER HEATER 1.50
50 /,
J
l GAS SYSTEM OUTLETS 1'50 50 INDUSTRIAL O
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 30 INSPECTION RECORD V
O
H
V
W
N
Z
A
APPROVALS DATE INSPECTOR'S/SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK 3061
ROUGH PLUMBING ivy
TOTAL FEE 16 ,55- �. GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
e, AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ° GAS VENT
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT i AM PROPERLY .REGISTERED AND/OR ";. PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST , /!r ✓ �� _
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED ESIDENTIAL PROPERT UTILITY GO7NOTIFIED
SIGNATURE
EE
OF PERMITTv FINAL
VCASHALIDATION ROBERT A�WOOD
M.o. SUPERVISING MECHANICAL ENG'R
LAW9243kO IF 5 5 16.55N