HomeMy Public PortalAbout5019 BALDWIN AVE_Plumbing__ 76A667 CE#817 S 61 TEMPLE CITY
APPLICATION 9 ION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS 5019 N. Baldwin Ave.
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN t NEAREST
CHOSE Si
NUMBER FIXTURE OR ITEM
2 WATER CLOSET mm Noel Bal dvrin
1 BATH TDB ADDRESS 5017 N- Ral dffin Ave.
1 SHOWER CITYTp=-LPTEL NoAT 6o827
LAVATORY CONTRACTOR Belvedere Plumbing Co.
1 SINS ADDRESS11900 E. Garvey Ave.
DISHWASHER CITY El Monte TEL. NO CU 31691
CONTRACTOR 13
LAUNDRY TUB REGISTRATION NO 179568 couNTY
CLOTHES WASHER DISTRICT NO GROUP I ZONE P SED BY
WATER HEATER
1 GAS SYSTEM INDUSTRIAL V
WASTE APPROVAL
INMCTION RECORD 1w
by d %2- Lg) :`% uj
�"
$I DOPER ITEMf.
�`'�.^� '29
10 OR FIXTURE $ 13 00 APPROVALS DATES r INSPECTOR 8 BIG TURB
PERMIT $ 2100
UNDER SLAB WORK 1111414f pR. vim
TOTAL FEEROUGH PLUMBING 1 -7/,j
- H 15100 GAS PIPING
IHEREBY 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
PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST /�St
CALIFORNIA OR THAT 1 E LEGAL OWNER OF THE ABOVE �,�r
DESCRIBED REs E TIAL oP TY UTILITY CO NOTIFIED �'� .ro -i*x 14
SIGNATURE [ i/
OF PERMI
FINAL
6,AIJDATION
ROBERT A WOOD
M O y CASH SUPERVISING MECHANICAL ENG R
�,
62761 OCT31 5 D 1500- 11