HomeMy Public PortalAbout9580 BLACKLEY ST_Plumbing__ 76AG67 -CE#817 2-62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES Lot # 6
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION B
U
ILDING95 0 Blackley Ste
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING
C't
FOR APPLICANT TO FILL IN T. l
NUMBER FIXTURE OR ITEM EACH FEE
OWNER J. B. Lieber Dev Co,
MAIL
3 WATER CLOSET $1.25 3 75
1 BATH TUB 1.25 1 25 ADDRESS 5926 N. Temple City Blvd.
2 SHOWER 1.25 2 50 CITY Temple City TEL. NO.
3 LAVATORY 1.25 3 75 CONTRACTOR ValleyPlumbing Co.
1 SINK 1.25 1 25 'ADDRESS � W. Fleetwood Place
1 DISHWASHER 1.25 1 25 CITY �'r9iXGlendoraTEL. No. Ed 51293
LAUNDRY TUB 1.25 REGISTRATIONCONNO. 209431 COUNTY CTOR'S STATE STATE p
1 CLOTHES WASHER 1.25 1 25 DISTRICT NO. GROUP jZONE �JROCESSED BY ,
1 WATER HEATER 1.50 1 50 .5-
1 1.50 1 50 INDUSTRIAL
GAS SYSTEM-OUTLETS - WASTE APPROVAL
1 OUTLETS OVER 5 PER SYSTEM .30 30 INSPECTION RECORD
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APPROVALS I?ATE INSPECTOR'S SJ„G .T.JIE '
PERMIT $ 2 00 UNDER SLAB WORK O G G" l
ROUGH PLUMBING
TOTAL FEE 20 30
GAS PIPING
LDABY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION -
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
LL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATERG.BY CERTIFY THAT I AM PROPERLY .REGISTERED AND/OR PLUMBING FIXTURES
D ASREQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TESTNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TON,THE ABOVE DESCRIBED SIDENTIAL PROPERTY UTILITY CO NOTIFIEDURE dIRMITTEE FINAL
/VALIDATION ROBERT A. WOOD
CK, M o CASH SUPERVISING MECHANICAL ENG'R
i..17O 387 SEP 29 5 D 20.30'