HomeMy Public PortalAbout5615ALESSANDRO AVE_Plumbing (3) f
78A667 CE4817 5/63 City of Temple City H 9894
APPLICATION FOR ,PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 5615 Alessandro
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUPT OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN NECROSS ARTST Broadway
NUMBER FIXTURE OR ITEM EACH FEE OWNER Re De Gerhart
WATER CLOSET $125
BATH TUB 125 ADDRESS Same
CITY TEL NO
SHOWER 125
LAVATORY 125 CONTRACTOR General Installation Co.
SINK 125 ADDRESS 6558 West Blvd,
DISHWASHER 125 CITY Los Angeles TEL NO PL 3-2541
LAUNDRY TUB 1 25 REGINSTRAi TRACTOR ON NO C-36 151839 787 COTUNTY ATE �
CLOTHES WASHER 1 25 DIST ICT NO GROUP ZONE =ESSED
1 WATER HEATER 150 1 50 �—�— _r—
GAS SYSTEM OUTLETS 1 50 INDUSTRIAL CL
mmmm Ix
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD V
Ready for Inspection Now O
V
W
CIL
N
Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
3 51) 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 �1 ��
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES l f V
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST r
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RES I�AL 0����'F�R9'1( UTILITY CO NOTIFIED
SIGNATURE
9 e tf
OF PERMITTEE FINAL I41
VALIDATION ROBERT A 'WOAD' 4 v
M o CASH SUPERVISING MECHANICAL ENG R
brbo7 1 5 2u ' nR30 5 D 350-
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