HomeMy Public PortalAbout5709ALESSANDRO AVE_Plumbing (2) 17CA667 CE#617 9/63 city of Temple City 06236
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS 5709 Alessandro `
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST CROST Rosemead & Broadway
< FIXTURE OR ITEM EACH FEE
OWNER Jack R. e11
WATER CLOSET $125 MAIL
BATH TUB 125 r ADDRESS Same
SHOWER 125 n CITY TEL NO
NUMBER
LAVATORY 1325 CONTRACTOR General Installation Co
SINN 12s ADDRESS 6558 West Blvd
DISHWASHER 125 F CITY Los Angeles TEL NO PL 3-2541
LAUNDRY TUB 1 25 CONTRACTOR S C-36 151839 787 STATE
REGISTRATION NO COUNTY
CLOTHES WASHER 1 25 DISTRICT NO GROUP ZONE
PR0,CESSED BY
a WATER HEATER 1 50
GAS SYSTEM OUTLETS 1 50 INDUSTRIAL CL
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD V
WATER SOFTENER 1 Ready for Inspection Now 0
U
W
a
N
d Z
F
Y
APPROVALS DATE^ INSPECTORS SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING '
TOTAL FEE3 50
GAS PIPING ! ! 1
I HEREBY ACKNOWLCDGE 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 i I
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES t
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 THEIABOVE DESCRIBED RESIDE PgpPER
Gj/y/J UTILITY CO NOTIFIED
SIGNATURE
OFIPERMITTEE �n/Ir
(FINAL 7 NJ
/VALIDATION ROBERT WOOD
cK M O CASH SUPERVISING MECHANICAL E14G R
r r
1 4
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LA�o9927;o WR 25 5 0 350- Q
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