HomeMy Public PortalAbout9574 BLACKLEY ST_Plumbing__ 76A667 -CE-#'817 2-62
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES Lot 7
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS %c�
574 E. Blackley St.WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST L�
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET $1.25 3 75 OWNER J. B. lleber Dev. Co.
1 MAIL
BATH TUB 1.25 1 25 _ADDRESS 5926 N. Temple City Blvd.
SHOWER 1.25 5o CITY Temple City TEL. NO.
3 LAVATORY 1.25 31 75 CONTRACTOR Valley Plumbing Co.
]- SINK 1.25 3. 25 ADDRESS 4.4.2 111. Fleetwood Place
1 DISHWASHER 1.25 2 25 CITY Glendora TEL. NO. Ed 51293
CONTLAUNDRY TUB 1.25 REGISTRATION ON NO. 2094CTOR'S '; 1.- STATE ❑
3_ COUNTY ❑
1 CLOTHES WASHER 1.25 2 25 DISTRICT NO. GR7O�'UP ZONE PROCESSED BY
l- WATER HEATER 1.50 50 So .L I � �i,
1 GAS SYSTEM OUTLETS 1.50 `50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM •90 30 — INSPECTION RECORD
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 O0 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 20 �'0 GAS PIPING '
I HEREBY ACKNOWLEDGE THAT I 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 '� a
PLUMBING. _
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES '
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO GAS TEST 0 'u�-,
RESIDE IN, THE ABOVE DESCRIB��NTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE -
09
VCKALIDATION ROBERT A. WOOD
M J. CASH SUPERVISING MECHANICAL ENG'R
u,uu � 3 tic n 5 D 2 0.30-
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