HomeMy Public PortalAbout5947 AVON AVE_Plumbing_3/5/1965_water fixtures 7GA667 -CEdt617 9/63
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES Lot # 9
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
7LE
NG
947 Avon Ave.
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING
San Gabriel
FOR APPLICANT TO FILL IN
NUMBER FIXTURE OR ITEM EACH FEE
MAILB. Weber Dev® Co,
2 WATER CLOSET $1.25 50 MAIL
1 BATH TUB 1.25 25 26 Temple City Blvd,
1 SHOWER 1.25 2 25 CITY (Gem le City TEL. NO.
2 LAVATORY 1,2550 CONTRACTOR Valley Plumbing Co.
1 SINK, 1.25 1 25 ADDRESS 4421 W. Fleetwood Place
1 DISHWASHER 1.25 1 25 CITY Glendora TEL. NO. Ed 51293
CONTRACTOR'S STATE
LAUNDRY TUB 1.25 REGISTRATION NO: 209431 COUNTY p
1 CLOTHES WASHER 1.25 3 25 DISTRICT NO. GROUP ZONE PRO_E SED BY
1 WATER HEATER 1.50 50
1 GAS SYSTEM—OUTLETS- 1.50 50 INDUSTRIAL a.
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 30 INSPECTION RECORD u
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APPROVALS _ DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK ,yr
1 55 ROUGH PLUMBING
TOTAL FEE
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I 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 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO'�NOTIFIED
SIGNATURE P_
OF PERMITTEE �3 r -�r
FINAL
"ALIDATION ROBERT A. WOOD V V
K M.O. CASH SUPERVISING MECHANICAL ENG'R
L.s '-4 4 �7Ft 5 5 A -1 6.5 5